Provider Demographics
NPI:1366154346
Name:SUNLIGHT INC.
Entity type:Organization
Organization Name:SUNLIGHT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOMORA
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, MEA
Authorized Official - Phone:330-883-5899
Mailing Address - Street 1:1530 OAKDALE DR NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-1828
Mailing Address - Country:US
Mailing Address - Phone:330-883-5899
Mailing Address - Fax:
Practice Address - Street 1:1530 OAKDALE DR NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-1828
Practice Address - Country:US
Practice Address - Phone:330-883-5899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities