NPI 1023455243
Actively Living Life INC
Practice location
- Address
- 1187 Blackhawk Dr SW, Hutchinson, MN 55350
- Phone
- (952) 215-4616
- Fax
- (952) 974-7851
Authorised official
- Name
- Luke Laidlaw
- Title
- President
- Phone
- (320) 295-2460
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023455243
- Entity type
- Organization
- NPI issued
- 29 May 2013
- Record last updated
- 6 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.