Provider Demographics
NPI:1407419120
Name:CORE VOCATIONAL SERVICES
Entity Type:Organization
Organization Name:CORE VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VOCATIONAL CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRC
Authorized Official - Phone:419-350-0711
Mailing Address - Street 1:5146 BRINTHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2841
Mailing Address - Country:US
Mailing Address - Phone:419-350-0711
Mailing Address - Fax:419-214-9201
Practice Address - Street 1:419 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-2805
Practice Address - Country:US
Practice Address - Phone:419-350-0711
Practice Address - Fax:419-214-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management