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Organization

ACTIVE LIFE MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARUT BALUYAN (CEO)
(877) 700-5020
Entity
Organization

Contact information

Practice address
336 S MAIN ST # 2D-D, BEL AIR, MD 21014-3978
(877) 700-5020
Mailing address
336 S MAIN ST # 2D-D, BEL AIR, MD 21014-3978

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/24/2020
Last updated
07/24/2020
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