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Glow House
Intellectual Disabilities Intermediate Care Facility in New Lexington, Ohio
NPI 1366771883

Glow House is a Intellectual Disabilities Intermediate Care Facility based in New Lexington, OH. Glow House practices in New Lexington, OH. The NPI Number for Glow House is 1366771883 and holds a License No. 6410512 (Ohio).

The current practice location address for Glow House is 5355 Tile Plant Rd Se, New Lexington, OH and can be reached out via phone at 740-343-0793 and via fax at 740-343-0794.

Location: 5355 Tile Plant Rd Se, New Lexington, OH, 43764-9801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366771883
Provider Name
Glow House
Credential
Provider Entity Type
Organization
Address
5355 Tile Plant Rd Se, New Lexington, OH, 43764-9801
Phone Number
740-343-0793
Fax Number
740-343-0794
Provider Enumeration Date
12/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2995933 05 OH
institution
Provider Business Practice Location Address Details
Address
5355 Tile Plant Rd Se
City
New Lexington
State
Ohio
Zip
43764-9801
Phone Number
740-343-0793
Fax Number
740-343-0794
person
Provider Business Mailing Address Details
Address
5355 Tile Plant Rd Se
City
New Lexington
State
Ohio
Zip
43764-9801
Phone Number
740-343-0793
Fax Number
740-343-0794
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
6410512 (Ohio)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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