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Organization

ACITVE DAY IN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SELENA DAWN DESHAZOR (MANAGER OF CONTRACTS AND LICENSING)
(215) 642-6600
Entity
Organization

Contact information

Practice address
2225 SHELBY ST, INDIANAPOLIS, IN 46203-4260
(317) 296-8811
Mailing address
6 INTERPLEX DR STE 401, TREVOSE, PA 19053-6942
(215) 642-6600

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QD1600X
Developmental Disabilities Clinic/Center

Other

Enumeration date
06/09/2026
Last updated
06/10/2026
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