Healthcare Provider Details

I. General information

NPI: 1700819976
Provider Name (Legal Business Name): CORA HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6130 US HIGHWAY 27 N
SEBRING FL
33870-1221
US

IV. Provider business mailing address

PO BOX 150
LIMA OH
45802-0150
US

V. Phone/Fax

Practice location:
  • Phone: 863-471-1223
  • Fax: 863-471-2015
Mailing address:
  • Phone: 419-221-6717
  • Fax: 419-222-0507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN R KRZYMINSKI
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 419-221-6717