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NPI Code Detail

MEDICARE: ORION WILLOW PARK LLC

MEDICARE: ORION WILLOW PARK 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
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1669635736
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORION WILLOW PARK LLC
Provider Business Mailing Address
First Line : 18810 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44122-6848
Country : US
Telephone Number : 216-752-3600
Fax Number :
Provider Business Practice Location Address
First Line : 18810 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44122-6848
Country : US
Telephone Number : 216-752-3600
Fax Number :
Authorized Official
Title or Position : AR MANAGER
Name : ADAM WHITE
Credential : MBA
Telephone Number : 614-416-2638
Provider Enumeration Date : 07/08/2008
Last Update Date : 07/08/2008

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Directions to “ORION WILLOW PARK LLC ” Practice Location

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