Healthcare Provider Details

I. General information

NPI: 1912516162
Provider Name (Legal Business Name): SILVER LINING ADULT DAY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 07/23/2020
Certification Date: 07/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3419 NW EVANGELINE TRWY STE B7
CARENCRO LA
70520-6241
US

IV. Provider business mailing address

203 BELLEMONT DR
LAFAYETTE LA
70507-3521
US

V. Phone/Fax

Practice location:
  • Phone: 337-520-2439
  • Fax: 337-205-8539
Mailing address:
  • Phone: 337-592-3178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CORDECE JOLIVETTE
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 337-592-3178