Organization
LILJANA HOUSE
Active
Parent organization
TRANSITIONAL LIVING CENTERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONAL LIVING CENTERS
Authorized official
MS. DENISE T POZDERAC (PRESIDENT)
(330) 273-5494
Entity
Organization
Contact information
Practice address
6721 GRAFTON RD, SUITE1, VALLEY CITY, OH 44280-9705
(330) 273-5494
(330) 273-6199
Mailing address
1980 COLUMBIA RD, VALLEY CITY, OH 44280-9533
(330) 483-1037
(330) 273-6199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5210195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2903166
—
OH
01
—
5210195
OHIO DEPARTMENT OF MRDD LICENSURE
OH
Enumeration date
02/26/2009
Last updated
02/26/2009
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