MEDICARE: ORA PRO NOBIS HEALTH CARE LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316655699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORA PRO NOBIS HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6654 LAKESIDE DR APT 315F
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4484
Country	:	US
Telephone Number	:	859-640-2459
Fax Number	:

Provider Business Practice Location Address
First Line	:	6654 LAKESIDE DR APT 315F
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4484
Country	:	US
Telephone Number	:	859-640-2459
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MAXIME MANIE BURU
Credential	:
Telephone Number	:	859-640-2459

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

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