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NPI Code Detail

MEDICARE: ACTIVE DAY OH, INC.

MEDICARE: ACTIVE DAY OH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)
2261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982748331
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTIVE DAY OH, INC.
Provider Business Mailing Address
First Line : 6 NESHAMINY INTERPLEX
Second Line : SUITE 401
City : TREVOSE
State : PA
Zip : 19053-6964
Country : US
Telephone Number : 215-642-6600
Fax Number : 215-642-6610
Provider Business Practice Location Address
First Line : 1127 TOWNE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45216-2227
Country : US
Telephone Number : 513-984-8000
Fax Number :
Authorized Official
Title or Position : CONTRACTS MANAGER
Name : DEBORA HOCKENBURY
Credential :
Telephone Number : 215-642-6600
Provider Enumeration Date : 02/19/2007
Last Update Date : 12/03/2020

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