Organization · Type 2 NPI

Active SC Two, Inc.

Adult Day Care Clinic/Center · Ridgeland, SC

NPI number 1497895627 Active

Practice location

8205 E Main St, Suite A
Ridgeland, SC 29936-8576

Call (843) 726-6077 Map

Fax (843) 726-6074

Mailing address

400 Redland Ct, Suite 114
Owings Mills, MD 21117-3270

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed

Adult Day Care Clinic/Center: Definition to come...

NPI record

NPI: 1497895627
Entity type: Organization (Type 2)
Issued: Feb 7, 2007
Last updated: May 13, 2008
Status: Active
Subpart: Yes of Active Day, Inc.

Other names

<unavail>
Ridgeland Active Day Center · doing business as

Authorized official

Kris W. Baldock
Chairman, CEO, President
(443) 548-2201

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497895627

Active SC Two, Inc.'s National Provider Identifier is 1497895627, issued on Feb 7, 2007. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Ridgeland, SC. The record was last updated on May 13, 2008.