Active Day Of Liberty

LBN: Active Sc Two, Inc.
Active Day Of Liberty is an health care organization with primary practice located at 315 W Front St , Liberty SC 29657-1011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Active Sc Two, Inc. can be contacted via phone (864) 843-6905, or through Hockenbury, Debora via phone (215) 642-6600.

Contact Information

Primary practice address
315 W Front St Liberty SC 29657-1011
Phone: (864) 843-6905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hockenbury, Debora
Phone: (215) 642-6600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1245370543
LBN Legal business name Active Sc Two, Inc.
DBA Doing business as Active Day Of Liberty
Authorized official Hockenbury, Debora
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jun 30th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245370543 NPPES
South Carolina MEDICAID EX0427

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