36D2214862 CLIA NUMBER - RESCARE - BRIDGE HOUSE

Laboratory Demographics

CLIA Number: 36D2214862

Facility Name: RESCARE - BRIDGE HOUSE

Facility Address:
80 MILLER ST
CENTERBURG, OH
ZIP 43011
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Facility Phone Number: 513 460-1708

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1588069991

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	36D2214862
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RESCARE - BRIDGE HOUSE
Street	80 MILLER ST
City	CENTERBURG
State	OH
ZIP	43011
Phone	513 460-1708
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024