Provider Demographics
NPI:1720523699
Name:CORE VALUES LLC
Entity Type:Organization
Organization Name:CORE VALUES LLC
Other - Org Name:HEARING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVANTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-290-5144
Mailing Address - Street 1:1611 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-3021
Mailing Address - Country:US
Mailing Address - Phone:580-290-5144
Mailing Address - Fax:580-290-5145
Practice Address - Street 1:1611 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3021
Practice Address - Country:US
Practice Address - Phone:580-290-5144
Practice Address - Fax:580-290-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1147332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment