Healthcare Provider Details
I. General information
NPI: 1386354884
Provider Name (Legal Business Name): SILVER CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/25/2022
Last Update Date: 11/25/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15825 LAKE SHORE BLVD
CLEVELAND OH
44110-1052
US
IV. Provider business mailing address
PO BOX 10913
CLEVELAND OH
44110-0913
US
V. Phone/Fax
- Phone: 216-376-0937
- Fax:
- Phone: 216-376-0937
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VERONICA
MCGHEE
Title or Position: C.E.O
Credential:
Phone: 216-376-0937