ACTIVE LIFE ADULT DAY CARE, INC.; NPI #1508226440

Contact Information

ACTIVE LIFE ADULT DAY CARE, INC.

7209 TAM O'SHANTER DR.
STOCKTON, CA 95210

Phone: 626-643-6003
Fax: 209-267-4193
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Day Care	261QA0600X

Indicates primary specialty

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

NPI Number	`1508226440`
LBN Legal business name	ACTIVE LIFE ADULT DAY CARE, INC.
Authorized official	ARA KARAMANOUKIAN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/04/2016
Last updated	03/18/2016 - About 10 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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