Provider Demographics
NPI:1114242906
Name:OREZE MEDICAL INVESTORS, LLC
Entity Type:Organization
Organization Name:OREZE MEDICAL INVESTORS, LLC
Other - Org Name:LOUISBURG GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:EMODI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-650-2115
Mailing Address - Street 1:PO BOX 6383
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-0383
Mailing Address - Country:US
Mailing Address - Phone:757-650-2115
Mailing Address - Fax:757-301-2108
Practice Address - Street 1:844 NC 39 HWY S
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-7114
Practice Address - Country:US
Practice Address - Phone:919-340-0211
Practice Address - Fax:919-340-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility