Organization
SUNLYTE TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL L. CLARK APN-BC (OWNER)
(215) 205-2294
Entity
Organization
Contact information
Practice address
2556 N FRONT ST, PHILADELPHIA, PA 19133-4004
(215) 205-2294
Mailing address
2556 N FRONT ST, PHILADELPHIA, PA 19133-4004
(267) 457-3801
(267) 457-3832
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
03/04/2021
Last updated
05/05/2026
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