| Corelife Inc | |
|
3829 Lorna Rd Ste 312 Hoover AL 35244-7058 | |
| (205) 710-2368 | |
| Not Available |
| Full Name | Corelife Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3829 Lorna Rd Ste 312, Hoover, Alabama |
| Authorized Official Name and Position | Raymond Kostkowski (CEO) |
| Authorized Official Contact | 4109910044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corelife Inc 1111 Benfield Blvd Ste 250 Millersville MD 21108-3005 Ph: (443) 679-4309 | Corelife Inc 3829 Lorna Rd Ste 312 Hoover AL 35244-7058 Ph: (205) 710-2368 |
| NPI Number | 1073003745 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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