Organization
ACTIVE DAY KY, INC.
Active
Parent organization
ACTIVE DAY, INC.
Other names
Active Day of Watterson Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY, INC.
Authorized official
CRAIG MEHNERT (COO)
(215) 642-6600
Entity
Organization
Contact information
Practice address
1920 GOLDSMITH LN, SUITE 100, LOUISVILLE, KY 40218-2073
(502) 366-5777
(502) 366-4599
Mailing address
6 NESHAMINY INTERPLEX, SUITE 401, TREVOSE, PA 19053-6964
(215) 642-6600
(215) 642-6610
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300131400
—
KY
05
—
4300082700
—
KY
Enumeration date
02/05/2007
Last updated
08/30/2016
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