MEDICARE: TRUTH HOUSE TRANSITIONAL LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104663343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUTH HOUSE TRANSITIONAL LIVING

Provider Business Mailing Address
First Line	:	5946 ROCK GLEN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-1676
Country	:	US
Telephone Number	:	614-984-1545
Fax Number	:

Provider Business Practice Location Address
First Line	:	5946 ROCK GLEN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-1676
Country	:	US
Telephone Number	:	614-984-1545
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TIFFANY DILLARD
Credential	:
Telephone Number	:	614-984-1545

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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Directions to “TRUTH HOUSE TRANSITIONAL LIVING ” Practice Location

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