ACTIVE LIFE, LLC

GLENDALE, CA
NPI1215983366
Entity TypeOrganization
Authorized ContactPALLAVI CHINTAPALLI NEMANI
Compliance Officer
512-552-6311
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2006-05-26
Last Update Date2023-01-24
Business Address
ACTIVE LIFE, LLC
1577 E CHEVY CHASE DR SUITE 210
GLENDALE, CA 91206-4107
Phone number: 818-495-4610
Mailing Address
ACTIVE LIFE, LLC
124 ALVARADO DR SE
ALBUQUERQUE, NM 87108-2940
Phone number: 505-266-1700