Provider Demographics
NPI:1356578496
Name:OUR VISION HOME HEATH CARE LLC
Entity type:Organization
Organization Name:OUR VISION HOME HEATH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-285-9945
Mailing Address - Street 1:576 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-3358
Mailing Address - Country:US
Mailing Address - Phone:330-285-9945
Mailing Address - Fax:330-285-9945
Practice Address - Street 1:576 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-3358
Practice Address - Country:US
Practice Address - Phone:330-285-9945
Practice Address - Fax:330-285-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care