# ACTIVE LIFE MD

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

## Provider details

- **NPI number:** 1679182729
- **Authorized official:** ARUT BALUYAN (CEO)
- **Authorized official phone:** (877) 700-5020

## Contact information

- **Practice address:** 336 S MAIN ST \# 2D-D, BEL AIR, MD 21014-3978
- **Practice address phone:** (877) 700-5020
- **Mailing address:** 336 S MAIN ST \# 2D-D, BEL AIR, MD 21014-3978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 07/24/2020
