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Organization

ACTIVE LIFE ADULT MEDICAL DAY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARISSA ENCOMIENDA BS IN MANAGEMENT (ACTIVITY DIRECTOR)
(443) 739-6410
Entity
Organization

Contact information

Practice address
728 BACK RIVER NECK RD STE C, ESSEX, MD 21221-1918
(410) 754-4349
(443) 505-4041
Mailing address
728 BACK RIVER NECK RD STE C, ESSEX, MD 21221-1918
(410) 754-4349
(443) 505-4041

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
04/06/2022
Last updated
04/06/2022
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