MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 6779
Change Report (if Any):

Short Name: ORIANA HOUSE

Long Name 1: ORIANA HOUSE
Long Name 2:

Address 1: 885 EAST BUCHTEL AVENUE
Address 2:

City: AKRON
Zip Code: 44305
County: SUMM

Contact: ANNE CONNELL-FREUND
Title:
Phone: 3305358116
FAX: 3309962233

Vendor: 6779

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/28/2011

File Produced: 14JUL2016