Organization
TRANSITIONAL LIVING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE T POZDERAC LNHA (PRESIDENT)
(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
347C00000X
Private Vehicle
5211247
OH
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
5211247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2728883
—
OH
01
—
5211247
OHIO DEPARTMENT OF MRDD
OH
Enumeration date
07/20/2007
Last updated
11/05/2008
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