Actively Living Life INC

NPI #1023455243 in Hutchinson, Minnesota

Provider Information

NPI Number: 1023455243
Entity Type: Organization
Organization Name: Actively Living Life INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 29, 2013
Last Updated: Jul 6, 2018

Practice Location

Address: 1187 BLACKHAWK DR SW
City: Hutchinson
State: Minnesota
ZIP Code: 55350
Phone: (952) 215-4616

Authorized Official

Name: LUKE LAIDLAW, OWNER/DIRECTOR
Title: PRESIDENT
Phone: (320) 295-2460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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