ACTIVE DAY IN INC. NPI 1508301433

NPI Information

ACTIVE DAY IN, INC. is an adult day care clinic center in Moline, IL. ACTIVE DAY IN, INC. NPI is 1508301433. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Moline.

The provider's business location address is:

4011 AVENUE OF THE CITIES
SUITE 102
MOLINE, IL
ZIP 61265-454
Phone: (309) 797-0200

The provider's authorized official is Craig O Mehnert .
The authorized official title is Coo and has the following contact phone number (215) 642-6600.

The CLIA number assigned to this NPI record is 14D2165903 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2017 and was last updated on 1/13/2017.

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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