Organization
TRANSITIONAL LIVING CENTERS, INC.
Active
Parent organization
TRANSITIONAL LIVING CENTERS, INC
Other names
Columbia House
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
6721 GRAFTON ROAD, SUITE 1, VALLEY CITY, OH 44280
(330) 273-5494
(330) 273-6199
Mailing address
6721 GRAFTON ROAD, SUITE 1, VALLEY CITY, OH 44280
(330) 273-5494
(330) 273-6199
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
5210371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901640
—
OH
05
—
36-G476
—
OH
Enumeration date
07/30/2006
Last updated
09/25/2008
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