Individual ProviderCora HargisPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address350 Lafayette Ave. SE, Grand Rapids, MI 49503(616) 840-8684PECOS EnrollmentBased on the most recent information from CMS, provider Cora Hargis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1972005437Provider TypeIndividualFull NameHargis, CoraGenderFemaleSole ProprietorNoEnumeration Date3/1/2018Last Updated3/1/2018Contact InformationPractice LocationPractice Address350 Lafayette Ave. SE, Grand Rapids, MI 49503Phone(616) 840-8684FaxUnlisted FaxMailing LocationMailing Address447 College Ave. SE, Grand Rapids, MI 49503PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense5501018349Michigan