Organization
ACTIVE LIFE SERVICES INC
Active
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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