Organization
ABBEYVILLE HOUSE
Active
Parent organization
TRANSITIONAL LIVING CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONAL LIVING CENTERS, INC.
Authorized official
MS. DENISE TRIVANOVICH POZDERAC LNHA (ADMINISTRATOR PRESIDENT)
(330) 273-5494
Entity
Organization
Contact information
Practice address
2525 ABBEYVILLE RD, VALLEY CITY, OH 44280-9734
(330) 273-5494
(330) 273-6199
Mailing address
791 PEARL RD, P.O. BOX 810, BRUNSWICK, OH 44212-2528
(330) 273-5494
(330) 273-6199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5210186
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919797
—
OH
05
—
36-G468
—
OH
Enumeration date
10/27/2005
Last updated
07/12/2007
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