TRANSITIONAL LIVING CENTERS, INC.
Intermediate Care Facility, Mentally Retarded
Brunswick, Ohio
Provider NPI: 1598772527
Organization Information:Organization Name: TRANSITIONAL LIVING CENTERS, INC.
Practice Location:
3971 GANYARD AVE BRUNSWICK, OH 44212 US
Tel: 330-273-5494 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3971 GANYARD AVE BRUNSWICK, OH 44212 US
Tel: 330-273-5494 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | OH | 5210202 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0967922 | OH | 05 | |
36-G482 | OH | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin