Healthcare Provider Details
I. General information
NPI: 1164268199
Provider Name (Legal Business Name): ORCHARDS OF ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2024
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 E STATE ST
ALLIANCE OH
44601-4936
US
IV. Provider business mailing address
230 ALBA AVE
CHESTER WV
26034-1559
US
V. Phone/Fax
- Phone: 330-409-1601
- Fax:
- Phone: 304-387-0101
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
MURRAY
Title or Position: VICE PRESIDENT
Credential:
Phone: 304-387-0101