National Provider Identifier Database

ACTIVE LIFE ADULT DAY CARE INC
Adult Day Care


Contact Information

ACTIVE LIFE ADULT DAY CARE, INC.
7209 TAM O'SHANTER DR.
STOCKTON, CA95210
Phone: 626-643-6003
Fax: 209-267-4193
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for ACTIVE LIFE ADULT DAY CARE, INC.

NPI Number 1508226440
Legal business name
LBN
ACTIVE LIFE ADULT DAY CARE, INC.
Authorized official ARA KARAMANOUKIAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/04/2016
Last updated 03/18/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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