Organization
ACSR, INC.
Active
Parent organization
ACTIVE DAY, INC.
Other names
Active Day of Russell Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC.
Authorized official
CRAIG MEHNERT (COO)
(215) 642-6600
Entity
Organization
Contact information
Practice address
1165 LAKEWAY DR, RUSSELL SPRINGS, KY 42642-4564
(270) 866-4877
(270) 866-4978
Mailing address
6 NESHAMINY INTERPLEX, SUITE 401, TREVOSE, PA 19053-6964
(215) 642-6600
(215) 642-6610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33000308
SCL
KY
05
—
3300030800
—
KY
05
—
4302104700
—
KY
Enumeration date
02/05/2007
Last updated
06/20/2016
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