Organization
SILVER LAKE VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE FRESHWATER (PRESIDENT)
(740) 398-4585
Entity
Organization
Contact information
Practice address
109 SCAMMEL ST, MARIETTA, OH 45750-2938
(740) 398-4585
Mailing address
2891 SILVER ST, GRANVILLE, OH 43023-9366
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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