# ACTIVE ADULT DAY HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639383367
- **Authorized official:** MRS. ALICE NJOKI MWAKITAWA (ADMINISTRATOR)
- **Authorized official phone:** (337) 948-9067

## Contact information

- **Practice address:** 333 E PRUDHOMME ST, OPELOUSAS, LA 70570-6490
- **Practice address phone:** (337) 948-9067
- **Practice address fax:** (337) 948-9064
- **Mailing address:** 333 E PRUDHOMME ST, OPELOUSAS, LA 70570-6490
- **Mailing address phone:** (337) 948-9067
- **Mailing address fax:** (337) 948-9064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1721468 | — | LA |