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Organization

ACTIVE LIFE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARINA AMERKHANOVA (OWNER)
(267) 258-3396
Entity
Organization

Contact information

Practice address
260 GEIGER RD, PHILADELPHIA, PA 19115-1008
(267) 258-3396
Mailing address
260 GEIGER RD, PHILADELPHIA, PA 19115-1008
(267) 258-3396

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
332U00000X
Home Delivered Meals

Other

Enumeration date
01/30/2021
Last updated
01/30/2021
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