Organization
MEDAID, INC.
Active
Other names
CORA Rehabilitation Clinics New Castle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NAVYAC P.T. (CLINIC MANAGER)
(724) 654-4545
Entity
Organization
Contact information
Practice address
527 E LONG AVE, NEW CASTLE, PA 16101-4843
(724) 654-4545
Mailing address
573 S MARKET ST, NEW WILMINGTON, PA 16142-1307
(724) 946-9631
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
OC006255L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018780010001
—
PA
Enumeration date
05/11/2007
Last updated
08/22/2020
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