Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Rehabilitation Clinics - Ortonville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
1660 S ORTONVILLE ROAD, ORTONVILLE, MI 48462
(348) 627-4084
(248) 627-4998
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
—
2759578
HEALTH PLUS
MI
01
—
30725
BLUE CARE NETWORK
MI
01
—
5564743
AETNA
MI
Enumeration date
07/11/2006
Last updated
03/11/2009
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