Basic Information
| Provider Information | |||||||||
| NPI: | 1912516162 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SILVER LINING ADULT DAY HEALTH CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 203 BELLEMONT DR | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705073521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375923178 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3419 NW EVANGELINE TRWY STE B7 | ||||||||
| Address2: | |||||||||
| City: | CARENCRO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705206241 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375202439 | ||||||||
| FaxNumber: | 3372058539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2020 | ||||||||
| LastUpdateDate: | 07/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | JOLIVETTE | ||||||||
| AuthorizedOfficialFirstName: | CORDECE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3375923178 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | PHARMD | ||||||||
| NPICertificationDate: | 07/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0600X | Y | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No ID Information.