ACTIVE MA INC. NPI 1588119713

NPI Information

ACTIVE MA, INC. is an adult day care clinic center in Lowell, MA. ACTIVE MA, INC. NPI is 1588119713. The provider is registered as an organization entity type.
The provider Is Doing Business As Active Day Of Lowell.

The provider's business location address is:

345 CHELMSFORD ST
LOWELL, MA
ZIP 01851-448
Phone: (978) 596-1111

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 22D2095951 - other - adult day health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.

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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