MEDICARE: OUR VISION HOME HEATH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356578496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR VISION HOME HEATH CARE LLC

Provider Business Mailing Address
First Line	:	576 PATTERSON AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3358
Country	:	US
Telephone Number	:	330-285-9945
Fax Number	:	330-285-9945

Provider Business Practice Location Address
First Line	:	576 PATTERSON AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-3358
Country	:	US
Telephone Number	:	330-285-9945
Fax Number	:	330-285-9945

Authorized Official
Title or Position	:	CEO
Name	:	MRS. DORINDA DAVISON
Credential	:
Telephone Number	:	330-285-9945

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	06/16/2009

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Directions to “OUR VISION HOME HEATH CARE LLC ” Practice Location

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