Organization
ACTIVE DAY OH, INC.
Active
Other names
Active Day of Eastlake
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE VANSCHAICK (REGULATORY AND CONTRACT ANALYST)
(215) 642-6600
Entity
Organization
Contact information
Practice address
34099 MELINZ PKWY UNIT K, EASTLAKE, OH 44095-4001
(440) 942-6200
Mailing address
6 INTERPLEX DR STE 401, TREVOSE, PA 19053-6942
(267) 917-6899
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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