| NPI | 1730628322 |
|---|---|
| Doing Business As | ACTIVE DAY OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | CRAIG O MEHNERT COO 215-642-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |