institution
Shalom House South
Intellectual Disabilities Intermediate Care Facility in Columbus, Ohio
NPI 1912961806

Shalom House South is a Intellectual Disabilities Intermediate Care Facility based in Columbus, OH. Shalom House South practices in Columbus, OH. The NPI Number for Shalom House South is 1912961806 and holds a License No. 2512963 (Ohio).

The current practice location address for Shalom House South is 1480 College Ave, Columbus, OH and can be reached out via phone at 614-338-2351 and via fax at 614-338-2353.

Location: 1480 College Ave, Columbus, OH, 43209-2888
institution
Provider Profile Details
NPI Number
1912961806
Provider Name
Shalom House South
Credential
Provider Entity Type
Organization
Address
1480 College Ave, Columbus, OH, 43209-2888
Phone Number
614-338-2351
Fax Number
614-338-2353
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0899201 05 OH
institution
Provider Business Practice Location Address Details
Address
1480 College Ave
City
State
Zip
43209-2888
Phone Number
614-338-2351
Fax Number
614-338-2353
person
Provider Business Mailing Address Details
Address
1480 College Ave
City
State
Zip
43209-2888
Phone Number
614-338-2351
Fax Number
614-338-2353
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
2512963 (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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