Organization
SILVER MAPLE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE E WIEDENMANNOTT (MEDICARE COORDINATOR)
(440) 989-5238
Entity
Organization
Contact information
Practice address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3400
(440) 830-3416
Mailing address
3905 OBERLIN AVE, LORAIN, OH 44053-2853
(440) 989-5238
(440) 989-4362
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
06/27/2023
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