Organization
ACTIVE SC TWO, INC.
Active
Parent organization
ACTIVE DAY, INC
Other names
Society Hill Active Day Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC
Authorized official
KRIS W. BALDOCK (CHAIRMAN, CEO, PRESIDENT)
(443) 548-2201
Entity
Organization
Contact information
Practice address
1118 S MAIN ST, SOCIETY HILL, SC 29593-8989
(843) 378-0157
(843) 378-0158
Mailing address
400 REDLAND CT, SUITE 114, OWINGS MILLS, MD 21117-3270
(443) 548-2200
(443) 548-2260
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0428
—
SC
Enumeration date
02/07/2007
Last updated
05/13/2008
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