ACTIVE DAY IN INC. NPI 1134352008

NPI Information

ACTIVE DAY IN, INC. is an adult day care clinic center in Merrillville, IN. ACTIVE DAY IN, INC. NPI is 1134352008. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Merrillville.

The provider's business location address is:

8680 BROADWAY
MERRILLVILLE, IN
ZIP 46410-034
Phone: (219) 769-6235
Fax: (219) 769-6342

The provider's authorized official is Craig 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 15D2018248 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 12/8/2011.

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:

Other Identifiers

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