NPI Code Details Logo

NPI 1891644613

NPI 1891644613 : CORA'S HOUSE LLC : MORGANTON, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1891644613
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CORA'S HOUSE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/26/2026
-----------------------------------------------------
    Last Update Date     |    01/26/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3351 BRANDON RD 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28655-6926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-437-2108
-----------------------------------------------------
    Fax                  |    828-764-4866
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3351 BRANDON RD 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28655-6926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-437-2108
-----------------------------------------------------
    Fax                  |    828-764-4866
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MR. DONNIE  PUETT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    828-443-7792
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    311ZA0620X
-----------------------------------------------------
    Taxonomy Name        |    Adult Care Home Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.