| NPI | 1609830611 |
|---|---|
| Doing Business As | SHALOM HOUSE INC, SHALOM HOUSE NORTH |
| Entity Type | Organization |
| Authorized Contact | RUTH DODGE Administrator 614-239-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OH 2512455) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |