ACTIVE LIFE HEALTH CARE MANAGEMENT LLC NPI 1104333087

NPI Information

ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC is an adult day care clinic center in Fitchburg, MA. ACTIVE LIFE HEALTH CARE MANAGEMENT, LLC NPI is 1104333087. The provider is registered as an organization entity type.

The provider's business location address is:

783 WATER ST
FITCHBURG, MA
ZIP 01420-479
Phone: (978) 400-7604
Fax: (978) 268-5242

The provider's authorized official is Vladimir Giterman .
The authorized official title is Owner and has the following contact phone number (978) 400-7604.

The CLIA number assigned to this NPI record is 22D2140725 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 1/2/2018.

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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