SHALOM HOUSE SOUTH NPI 1912961806

NPI Information

SHALOM HOUSE SOUTH is an intermediate care facility mentally retarded in Columbus, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SHALOM HOUSE SOUTH NPI is 1912961806. The provider is registered as an organization entity type.
The provider Is Doing Business As Shalom House Inc.

The provider's business location address is:

1480 COLLEGE AVE
COLUMBUS, OH
ZIP 43209-888
Phone: (614) 338-2351
Fax: (614) 338-2353

The provider's authorized official is Ruth Dodge .
The authorized official title is Administrator and has the following contact phone number (614) 239-1999.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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