Provider Demographics
NPI:1609028778
Name:CORE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:CORE HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARKERR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-388-2423
Mailing Address - Street 1:12041 ROUND LAKE BLVD NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2555
Mailing Address - Country:US
Mailing Address - Phone:612-388-2423
Mailing Address - Fax:763-433-2838
Practice Address - Street 1:12041 ROUND LAKE BLVD NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-2555
Practice Address - Country:US
Practice Address - Phone:612-388-2423
Practice Address - Fax:763-433-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN341551251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health