Provider Demographics
NPI:1265961247
Name:CORE VALUE CORPORATION
Entity type:Organization
Organization Name:CORE VALUE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-210-9725
Mailing Address - Street 1:4560 CRAIN HWY STE 12
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3084
Mailing Address - Country:US
Mailing Address - Phone:240-210-9725
Mailing Address - Fax:240-366-1161
Practice Address - Street 1:4560 CRAIN HWY STE 12
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3084
Practice Address - Country:US
Practice Address - Phone:240-210-9725
Practice Address - Fax:240-366-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD02284133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty