| NPI | 1225810807 |
|---|---|
| Other Name | ACTIVE LIFE ADHC LLC |
| Entity Type | Organization |
| Authorized Contact | VITA COKER Executive Director 502-835-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |