Organization
ACTIVE SC ONE, INC.
Active
Parent organization
ACTIVE DAY, INC.
Other names
Active Day of Grand Strand
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC.
Authorized official
DEBORA HOCKENBURY (CONTRACTS MANAGER)
(215) 642-6600
Entity
Organization
Contact information
Practice address
3880 HOUNDSFIELD AVE, MYRTLE BEACH, SC 29577-5792
(843) 626-8501
(843) 916-8858
Mailing address
6 NESHAMINY INTERPLEX DR STE 401, TREVOSE, PA 19053-6942
(215) 642-6600
(215) 642-6610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0429
—
SC
Enumeration date
02/07/2007
Last updated
06/30/2020
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