OrganizationActive
Life Force for Older Americans
NPI 1720692767 · Custodial Care Facility · Severn, MD
Provider details
- NPI number
- 1720692767
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Victor Evereklian, Ceo(610) 356-1943
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1869 Hawk Ct
Severn, MD 21144-3114
Phone: (410) 240-4517
Fax: (610) 359-1117
Approximate (ZIP-level) locationGet directions
Mailing address
3544 W Chester Pike Ste 216
Newtown Square, PA 19073-4107
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.