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General NPI Number Information
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NPI Number | 1851430367
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Entity Type | Organization
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Legal Business Name | ACTIVE DAY KY, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 1920 GOLDSMITH LN SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40218-2073
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Country | US
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Telephone | 502-366-5777
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Fax | 502-366-4599
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Provider Business Mailing Address
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Address Line | 6 NESHAMINY INTERPLEX SUITE 401
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City | TREVOSE
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State | PA
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Zip | 19053-6964
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Country | US
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Telephone | 215-642-6600
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Fax | 215-642-6610
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Authorized Official
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Title or Position | COO
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Name | CRAIG MEHNERT
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Credential |
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Telephone | 215-642-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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