Actively Living Life Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hutchinson, MN
NPI 1023455243 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1023455243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ACTIVELY LIVING LIFE INC
- Practice address
- 1187 Blackhawk Dr SW
Hutchinson, MN 55350 - Phone
- (952) 215-4616
- Fax
- (952) 974-7851
- NPI assigned
- May 29, 2013
- Organization subpart
- No
Authorized official
- Name
- Luke Laidlaw, OWNER/DIRECTOR
- Title
- President
- Phone
- (320) 295-2460
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MN | Yes |
Addresses
Primary practice location
1187 Blackhawk Dr SW
Hutchinson, MN 55350
Mailing address
1187 Blackhawk Dr SW
Hutchinson, MN 55350
Phone (952) 215-4616
Other providers in Hutchinson, MN
- Acc Midwest Transportation LLC
- Tracy Renee Acker
- Adam Sarff, Ma, LMFT, LLC
- Adapthealth Minnesota LLC
- Aegis Group Practice LLC
- James E. Allen
- Kathy Jo Altmann
All providers in Hutchinson, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.