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NPI Code Detail

MEDICARE: ORCA HOUSE, INC.

MEDICARE: ORCA HOUSE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility1077OH

General Provider Information

NPI Number : 1144302795
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORCA HOUSE, INC.
Provider Business Mailing Address
First Line : 1905 E 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2007
Country : US
Telephone Number : 216-231-3772
Fax Number : 216-231-5040
Provider Business Practice Location Address
First Line : 1905 E 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2007
Country : US
Telephone Number : 216-231-3772
Fax Number : 216-231-5040
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. GREGORY UHLAND
Credential :
Telephone Number : 216-231-3772
Provider Enumeration Date : 10/20/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1851470603 — ORCA HOUSE
Practice Location Address:
1909 E 89TH ST
CLEVELAND, OH
44106-2007
Practice Phone: 216-231-3772
Practice Fax: 216-231-5040
1275965733 — MR. GREGORY MICHAEL UHLAND LISW-S
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1649680331 — ATOIYA LARNESSA WILLIAMS LSW
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1639589211 — MS. DOROTHY LEE BROWN-LEWIS LSW., LCDC III
Practice Location Address:
1905 E 89TH ST
CLEVELAND, OH
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1275944712 — JACQUELIN ANN FIELDS LICDC LSW
Practice Location Address:
1905 E 89TH ST
CLEVELAND, OH
44106-2007
Practice Phone: 216-231-3772
Practice Fax: 216-231-5040
1326452814 — SYLVIA JOHNSON-LEE LISW-S
Practice Location Address:
1905 E 89TH ST
CLEVELAND, OH
44106-2007
Practice Phone: 216-231-3772
Practice Fax: 216-231-5040

Directions to “ORCA HOUSE, INC. ” Practice Location

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