Organization
ADULT LATCHKEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE JACKSON (PRESIDENT)
(216) 751-5368
Entity
Organization
Contact information
Practice address
13205 CHAPELSIDE AVE, CLEVELAND, OH 44120-4605
(216) 751-5368
Mailing address
4504 BROOKS RD, CLEVELAND, OH 44105-6052
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
05
—
2199080
—
OH
05
—
2277067
—
OH
05
—
2715155
—
OH
Enumeration date
05/16/2007
Last updated
09/11/2025
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