Organization
ACTIVE MA, INC.
Active
Parent organization
ACTIVE MA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE MA, INC.
Authorized official
STEPHANIE VANSCHAICK (REGULATORY & CONTRACTS ANALYST)
(215) 642-6600
Entity
Organization
Contact information
Practice address
102 GLENN ST, LAWRENCE, MA 01843-1022
(978) 213-8744
(978) 655-5767
Mailing address
6 INTERPLEX DR STE 401, TREVOSE, PA 19053-6942
(215) 642-6600
(215) 827-5950
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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