Provider Demographics
NPI:1417536517
Name:CORA JOHN STAFFING AND CARE MANAGEMENT INC.
Entity Type:Organization
Organization Name:CORA JOHN STAFFING AND CARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:727-678-0417
Mailing Address - Street 1:2708 US HWY ALTERNATE 19N
Mailing Address - Street 2:604-9 / 604-10
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683
Mailing Address - Country:US
Mailing Address - Phone:727-678-0417
Mailing Address - Fax:
Practice Address - Street 1:2708 US HWY ALTERNATE 19N
Practice Address - Street 2:604-9 / 604-10
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683
Practice Address - Country:US
Practice Address - Phone:727-678-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health