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Organization

ACTIVE INFUSIONS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEYLA HENDERSON (PRESIDENT)
(240) 200-4464
Entity
Organization

Contact information

Practice address
14502 GREENVIEW DR STE 360, LAUREL, MD 20708-4232
(240) 200-4464
(410) 747-1866
Mailing address
14502 GREENVIEW DR STE 360, LAUREL, MD 20708-4232
(240) 200-4464

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033605753
NPI
Enumeration date
05/25/2022
Last updated
07/30/2024
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