Healthcare Provider Details

I. General information

NPI: 1760397921
Provider Name (Legal Business Name): CORECARE HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 HURFFVILLE CROSSKEYS RD STE 10B
SEWELL NJ
08080-2360
US

IV. Provider business mailing address

208 6TH AVE
GLASSBORO NJ
08028-8323
US

V. Phone/Fax

Practice location:
  • Phone: 856-725-8340
  • Fax:
Mailing address:
  • Phone: 856-725-8340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHEYNEY LYNN CORRY
Title or Position: OWNER
Credential:
Phone: 856-725-8340