Organization · Type 2 NPI
Glow House
Intellectual Disabilities Intermediate Care Facility · New Lexington, OH
NPI number
1366771883
Active
Practice location
5355 Tile Plant Rd SE
New Lexington, OH 43764-9801
Fax (740) 343-0794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 6410512 (OH) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in New Lexington
About NPI 1366771883
Glow House's National Provider Identifier is 1366771883, issued on Dec 11, 2009. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in New Lexington, OH. The record was last updated on Dec 11, 2009.