Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Rehabilitation Clinics Hallandale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (SENIOR VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
207 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 456-3511
(954) 456-3733
Mailing address
1110 SHAWNEE ROAD, LIMA, OH 45805
(419) 221-6712
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4378
TRS
FL
01
—
RN6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/03/2006
Last updated
08/22/2020
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