Provider Demographics
NPI:1730796954
Name:ORR, CHRISTY JO
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:JO
Last Name:ORR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4693 TOWNSHIP ROAD 179
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:OH
Mailing Address - Zip Code:43334-9777
Mailing Address - Country:US
Mailing Address - Phone:614-679-5596
Mailing Address - Fax:
Practice Address - Street 1:4693 TOWNSHIP ROAD 179
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-9777
Practice Address - Country:US
Practice Address - Phone:614-679-5596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care