| NPI | 1225390511 |
|---|---|
| Doing Business As | ACTIVE LIVING HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEITH JENKINS Administrator 865-406-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |