ACTIVE LIFE ADULT DAY CARE INC. NPI 1508226440

NPI Information

ACTIVE LIFE ADULT DAY CARE, INC. is an adult day care clinic center in Stockton, CA. ACTIVE LIFE ADULT DAY CARE, INC. NPI is 1508226440. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Life Adult Day Health Care Center.

The provider's business location address is:

7209 TAM O'SHANTER DR.
STOCKTON, CA
ZIP 95210
Phone: (626) 643-6003
Fax: (209) 267-4193

The provider's authorized official is Ara Karamanoukian .
The authorized official title is President and has the following contact phone number (626) 643-6003.

The CLIA number assigned to this NPI record is 05D2147947 - other - adult day hlth care ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/18/2016.

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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