Corelife Valley, LLC
NPI #1326681214 in Upper Chichester, Pennsylvania
Provider Information
- NPI Number
- 1326681214
- Entity Type
- Organization
- Organization Name
- Corelife Valley, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 23, 2019
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 3601 CHICHESTER AVE UNIT 101
- City
- Upper Chichester
- State
- Pennsylvania
- ZIP Code
- 19061-3149
- Phone
- (484) 768-6762
Authorized Official
- Name
- MR. RAYMOND JOSEPH KOSTKOWSKI
- Title
- CEO
- Phone
- (410) 991-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Family Medicine |
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