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Contact Information

CORA SOUTH CAROLINA LLC
1110 SHAWNEE RD
LIMA, OH45805-3529
 Phone: 419-221-6720
 Fax: 419-222-0507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for CORA SOUTH CAROLINA LLC

NPI # 1396250049
LBN Legal business name CORA SOUTH CAROLINA LLC
Authorized official BRAD ROUSH - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2017
Last updated 12/04/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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