Healthcare Provider Details

I. General information

NPI: 1801300850
Provider Name (Legal Business Name): ORIANA HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 E GLENWOOD AVE
AKRON OH
44304-1137
US

IV. Provider business mailing address

PO BOX 1501
AKRON OH
44309-1501
US

V. Phone/Fax

Practice location:
  • Phone: 330-535-8116
  • Fax:
Mailing address:
  • Phone: 330-535-8116
  • Fax: 330-996-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number36D0962362
License Number StateOH

VIII. Authorized Official

Name: CARL EBNER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 330-535-8116