Healthcare Provider Details

I. General information

NPI: 1922949122
Provider Name (Legal Business Name): ADVORAYA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 LARKSPUR WAY
PICKERINGTON OH
43147-3222
US

IV. Provider business mailing address

730 LARKSPUR WAY
PICKERINGTON OH
43147-3222
US

V. Phone/Fax

Practice location:
  • Phone: 833-393-0523
  • Fax: 833-393-3113
Mailing address:
  • Phone: 833-393-0523
  • Fax: 833-393-3113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE HOWER
Title or Position: DOO
Credential:
Phone: 804-388-3670