Healthcare Provider Details
I. General information
NPI: 1730127176
Provider Name (Legal Business Name): ORIANA HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2006
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
885 E BUCHTEL AVE
AKRON OH
44305-2338
US
IV. Provider business mailing address
PO BOX 1501
AKRON OH
44309-1501
US
V. Phone/Fax
- Phone: 330-535-8116
- Fax: 330-996-2233
- Phone: 330-535-8116
- Fax: 330-996-2233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MS.
MARY
JONES
Title or Position: VICE PRESIDENT OF ADMINISTRATION
Credential:
Phone: 330-535-8116