Organization
CORA HEALTH SERVICES INC
Active
Parent organization
CORA HEALTH SERVICES INC
Other names
CORA Rehabilitation Clinics - Burton
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORA HEALTH SERVICES INC
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
1235 SOUTH CENTER ROAD, UNIT 12, BURTON, MI 48509
(810) 743-8820
(810) 743-5908
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
—
30726
BLUE CARE NETWORK
MI
01
—
5564743
AETNA
MI
Enumeration date
07/11/2006
Last updated
04/10/2009
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