Individual provider · NPI-1

Luciana M. Black

Clinic/Center, Adult Day Care · Cleveland, OH

NPI number1467304303
StatusActive
Last updated in NPPESFeb 13, 2026

Details

NPI
1467304303
Entity type
Individual (NPI-1)
Name
Luciana M. Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2026
Certification date
Feb 13, 2026
Last updated
Feb 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QA0600X Clinic/Center, Adult Day Care–OHYes
372600000X Adult Companion–OH

Practice location

16707 Eldamere Ave
Cleveland, OH 44128-1513

Phone 216-609-8238

Mailing address

16707 Eldamere Ave
Cleveland, OH 44128-1513

Phone 216-609-8238

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