Organization
ACTIVE LIFE ADULT DAY CARE, INC.
Active
Other names
Active Life Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARA KARAMANOUKIAN (PRESIDENT)
(626) 643-6003
Entity
Organization
Contact information
Practice address
7209 TAM O'SHANTER DR., STOCKTON, CA 95210
(626) 643-6003
(209) 267-4193
Mailing address
7209 TAM O'SHANTER DR, UNIT D, STOCKTON, CA 95210-3370
(626) 643-6003
(209) 267-4193
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/18/2016
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