Organization
SILVER LIGHT ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILYA NEWELL (OWNER)
(216) 235-3952
Entity
Organization
Contact information
Practice address
3224 W 65TH ST, CLEVELAND, OH 44102-5510
(216) 235-3952
Mailing address
8302 JEFFRIES AVE, CLEVELAND, OH 44105-6563
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11091079
DOB
—
Enumeration date
11/14/2022
Last updated
02/27/2024
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