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Organization
CORA REHABILITATION
Active
Organization
CORA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA K BEACH (CREDENTIALING COORDINATOR)
(419) 221-6710
Entity
Organization
Contact information
Practice address
1590 S STATE ROAD 15A, DELAND, FL 32720-7817
(386) 734-9400
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6710
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
320700000X
FL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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