Organization
GLOW HOUSE
Active
Parent organization
MOUNT ALOYSIUS CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT ALOYSIUS CORP.
Authorized official
MRS. JEAN ANN ARBAUGH (ADMINISTRATOR)
(740) 342-3343
Entity
Organization
Contact information
Practice address
5355 TILE PLANT RD SE, NEW LEXINGTON, OH 43764-9801
(740) 343-0793
(740) 343-0794
Mailing address
5355 TILE PLANT RD SE, PO BOX 598, NEW LEXINGTON, OH 43764-9801
(740) 343-0793
(740) 343-0794
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6410512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995933
—
OH
Enumeration date
12/11/2009
Last updated
12/11/2009
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