Cora South Carolina LLC
Organization Active NPI Rehabilitation Clinic/Center · Lima, OH
NPI 1396250049 · NPPES record last updated Dec 4, 2017
Key facts
- NPI
- 1396250049
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CORA SOUTH CAROLINA LLC
- Practice address
- 1110 Shawnee Rd
Lima, OH 45805-3529 - Phone
- (419) 221-6720
- Fax
- (419) 222-0507
- NPI assigned
- Dec 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Brad C Roush
- Title
- Executive Vice President
- Phone
- (419) 221-6712
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Cora Health Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | SC | Yes |
Addresses
Primary practice location
1110 Shawnee Rd
Lima, OH 45805-3529
Mailing address
1110 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 221-6720
Other names
- CORA South Carolina LLC
Other providers in Lima, OH
- Anthony Cooper
- Enyia Cooper
- Mark Hayden Cooper
- Steven C Copeland
- Graham Andrew Copus
- Brittany Jessica Cortez
- Jennifer Cory
- Samuel Cory
- Michael Keith Cotrell
- Tiyanna Lynne Cotton
All providers in Lima, OH · Rehabilitation Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.