Organization
VICTOR WEINSTEIN SHALOM HOUSE
Active
Other names
Shalom House Inc, Shalom House North
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH DODGE QMRP (ADMINISTRATOR)
(614) 239-1999
Entity
Organization
Contact information
Practice address
1135 COLLEGE AVE, COLUMBUS, OH 43209-7802
(614) 239-1999
(614) 239-1367
Mailing address
1135 COLLEGE AVE, COLUMBUS, OH 43209-7802
(614) 239-1999
(614) 239-1367
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2512455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656017
—
OH
Enumeration date
04/14/2006
Last updated
08/22/2020
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