| Organization Name: | CORNERSTONE REHABILITATION CENTER, INC. |
| NPI Number: | 1053550673 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY OSA (OWNER) |
| Mailing Address: | 134 Evergreen Pl 8th Floor East Orange |
| State: | NJ US |
| Postal Code: | 070182011 |
| Phone Number: | 9734141002 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2009 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |