Organization Name: | CORA HEALTH SERVICES INC |
NPI Number: | 1417986068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD C ROUSH (SENIOR VICE PRESIDENT) |
Mailing Address: | 207 E Hallandale Beach Blvd Hallandale |
State: | FL US |
Postal Code: | 33009 |
Phone Number: | 9544563511 |
Fax Number: | 9544563733 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 04/20/2008 |
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: |