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ACTIVE LIFE ADULT MEDICAL DAY CENTER LLC NPI 1518608199


NPI Information

NPI: 1518608199
Provider Name: ACTIVE LIFE ADULT MEDICAL DAY CENTER, LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
728 BACK RIVER NECK RD STE C
ESSEX, MD
ZIP 21221
Phone: (410) 754-4349
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ACTIVE LIFE ADULT MEDICAL DAY CENTER, LLC is an adult day care clinic center in Essex, MD. ACTIVE LIFE ADULT MEDICAL DAY CENTER, LLC NPI is 1518608199. The provider is registered as an organization entity type.

The provider's business location address is:

728 BACK RIVER NECK RD STE C
ESSEX, MD
ZIP 21221-918
Phone: (410) 754-4349
Fax: (443) 505-4041

The provider's authorized official is Clarissa Encomienda .
The authorized official title is Activity Director and has the following contact phone number (443) 739-6410.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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