| NPI | 1699819672 |
|---|---|
| Doing Business As | ACTIVE DAY OF MIAMI WEST |
| Entity Type | Organization |
| Authorized Contact | KRIS W. BALDOCK Chairman, CEO, President 443-548-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |