NPI | 1396447553 |
---|---|
Doing Business As | ACTIVE DAY OF EASTLAKE |
Entity Type | Organization |
Authorized Contact | STEPHANIE VANSCHAICK Regulatory And Contract Analyst 215-642-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-03-21 |