Organization
ACTIVE DAY IN INC
Active
Parent organization
ACTIVE DAY INC
Other names
Active Day of Lafayette
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE DAY INC
Authorized official
KRIS W BALDOCK (CEO PRESIDENT)
(443) 548-2200
Entity
Organization
Contact information
Practice address
3922 MEZZANINE DRIVE, LAFAYETTE, IN 47905
(765) 446-7128
Mailing address
3922 MEZZANINE DRIVE, LAFAYETTE, IN 47905
(765) 446-7128
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
IN
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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