SILVER MAPLE RECOVERY LLC NPI 1124597182

NPI Information

SILVER MAPLE RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Lorain, OH. SILVER MAPLE RECOVERY, LLC NPI is 1124597182. The provider is registered as an organization entity type.

The provider's business location address is:

2101 SILVER MAPLE WAY
LORAIN, OH
ZIP 44053-380
Phone: (440) 830-3400
Fax: (440) 830-3416

The provider's authorized official is Sue E Wiedenmannott .
The authorized official title is Medicare Coordinator and has the following contact phone number (440) 989-5238.

The CLIA number assigned to this NPI record is 36D2160906 - other - in patient drug and alcoh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2018 and was last updated on 6/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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