MEDICARE: ORION ROYAL OAKS 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1679736748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORION ROYAL OAKS LLC

Provider Business Mailing Address
First Line	:	6973 PEARL RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-7831
Country	:	US
Telephone Number	:	440-884-9191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6973 PEARL RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-7831
Country	:	US
Telephone Number	:	440-884-9191
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 ROYAL OAKS LLC ” Practice Location

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