Provider Demographics
NPI:1316576135
Name:ADCORE HEALTH, LLC
Entity Type:Organization
Organization Name:ADCORE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:AYTONA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:910-316-9870
Mailing Address - Street 1:4315 CLIFTON DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-5667
Mailing Address - Country:US
Mailing Address - Phone:910-316-9870
Mailing Address - Fax:
Practice Address - Street 1:4315 CLIFTON DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-5667
Practice Address - Country:US
Practice Address - Phone:910-316-9870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy