Provider Demographics
NPI:1598516791
Name:CORE HEALTH LLC
Entity Type:Organization
Organization Name:CORE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:OGONOWSKI
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:404-585-1960
Mailing Address - Street 1:1834 W NANCY CREEK DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1453
Mailing Address - Country:US
Mailing Address - Phone:404-585-1960
Mailing Address - Fax:
Practice Address - Street 1:2947 N DRUID HILLS RD NE STE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3980
Practice Address - Country:US
Practice Address - Phone:404-585-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty