Provider Demographics
NPI:1902057433
Name:ACTIVE DAY INC.
Entity Type:Organization
Organization Name:ACTIVE DAY INC.
Other - Org Name:LOW COUNTRY CORF
Other - Org Type:Other Name
Authorized Official - Title/Position:PTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:TURNER
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-629-9377
Mailing Address - Street 1:2120 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-1104
Mailing Address - Country:US
Mailing Address - Phone:843-665-1919
Mailing Address - Fax:
Practice Address - Street 1:2120 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-1104
Practice Address - Country:US
Practice Address - Phone:843-665-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEE DEE ADC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC963313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility