Healthcare Provider Details

I. General information

NPI: 1972794055
Provider Name (Legal Business Name): ORION WILLOW PARK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18810 HARVARD AVE
CLEVELAND OH
44122-6848
US

IV. Provider business mailing address

1 EASTON OVAL STE 300
COLUMBUS OH
43219-6062
US

V. Phone/Fax

Practice location:
  • Phone: 216-752-3600
  • Fax:
Mailing address:
  • Phone: 614-416-0600
  • Fax: 614-416-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateOH

VIII. Authorized Official

Name: DONALD D. FINNEY
Title or Position: PRESIDENT
Credential:
Phone: 614-416-0600