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Organization
VALLEY HOUSE
Active
Organization
VALLEY HOUSE
Active
Parent organization
TRANSITIONAL LIVING CENTERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONAL LIVING CENTERS, INC
Authorized official
DENISE T POZDERAC LNHA (PRESIDENT/ADMINISTRATOR)
(330) 273-5494
Entity
Organization
Contact information
Practice address
544 COLUMBIA RD, VALLEY CITY, OH 44280-9755
(330) 273-5494
(330) 273-6199
Mailing address
791 PEARL RD, BRUNSWICK, OH 44212-2528
(330) 273-5494
(330) 273-6199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5210275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413305
—
OH
05
—
36-G524
—
OH
Enumeration date
08/02/2006
Last updated
07/12/2007
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