Organization
FUNDAMENTALS ADULT DAY SERVICES, INC.
Active
Organization
FUNDAMENTALS ADULT DAY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIYAVAUGHNA WHITE (CEO)
(216) 882-9932
Entity
Organization
Contact information
Practice address
12500 BUCKEYE RD, CLEVELAND, OH 44120-2652
(216) 407-6148
Mailing address
2884 CAMELOT CT, WILLOUGHBY HILLS, OH 44092-1466
(216) 407-6148
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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