# CORELIFE ALABAMA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043892672
- **Authorized official:** KELLY SHEEHAN (DIRECTOR, RCM)
- **Authorized official phone:** (443) 439-6309

## Contact information

- **Practice address:** 3829 LORNA RD, HOOVER, AL 35244-7034
- **Practice address phone:** (205) 710-2368
- **Mailing address:** 1111 BENFIELD BLVD STE 250, MILLERSVILLE, MD 21108
- **Mailing address phone:** (443) 688-6909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2021
- **Last updated:** 10/14/2021