| Organization Name: | CORA HEALTH SERVICES INC |
| NPI Number: | 1629002829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Mailing Address: | 1660 S Ortonville Road Ortonville |
| State: | MI US |
| Postal Code: | 48462 |
| Phone Number: | 3486274084 |
| Fax Number: | 2486274998 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 03/11/2009 |
| 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: | |