Provider Demographics
NPI:1457954133
Name:OUR WAY OF LIFE INC.
Entity Type:Organization
Organization Name:OUR WAY OF LIFE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TOCCARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-861-3011
Mailing Address - Street 1:1155 TRIPLETT BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3046
Mailing Address - Country:US
Mailing Address - Phone:330-861-3011
Mailing Address - Fax:
Practice Address - Street 1:1155 TRIPLETT BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3046
Practice Address - Country:US
Practice Address - Phone:330-861-3011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health