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NPI Code Detail

MEDICARE: CORA HEALTH SERVICES INC

MEDICARE: CORA HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952334153
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORA HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 150
Second Line :
City : LIMA
State : OH
Zip : 45802-0150
Country : US
Telephone Number : 419-221-6717
Fax Number : 419-222-0507
Provider Business Practice Location Address
First Line : 712 CHENEY HWY
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-6959
Country : US
Telephone Number : 321-269-8155
Fax Number : 321-269-8158
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MR. STEPHEN R KRZYMINSKI
Credential :
Telephone Number : 419-221-6717
Provider Enumeration Date : 07/09/2006
Last Update Date : 10/19/2023

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