Active Life Services INC
Day Training, Developmentally Disabled Services in Philadelphia, PA. Organization (NPI-2).
NPI number1215528443
StatusActive
Last updated in NPPESJan 30, 2021
Details
- NPI
- 1215528443
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Life Services INC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2021
- Certification date
- Jan 30, 2021
- Last updated
- Jan 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 332U00000X | Home Delivered Meals | – | – |
Practice location
260 Geiger RdPhiladelphia, PA 19115-1008
Phone 267-258-3396
Mailing address
260 Geiger RdPhiladelphia, PA 19115-1008
Phone 267-258-3396
Authorized official
Marina Amerkhanova
Owner
2672583396
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