Organization
ORION MANSFIELD, LLC
Active
Other names
Woodside Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JAMES YODER (CFO)
(614) 416-0600
Entity
Organization
Contact information
Practice address
841 W MARION RD, MOUNT GILEAD, OH 43338-1031
(419) 947-2015
Mailing address
1 EASTON OVAL, SUITE 300, COLUMBUS, OH 43219-6061
(614) 416-0600
(614) 416-0204
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2740172
—
OH
Enumeration date
10/29/2007
Last updated
10/29/2007
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