NPI 1003240722

Making a Difference INC

Organisation Exclusive Provider Organization Woodbridge, VA

Practice location

Address: 12781 Darby Brook CT, Woodbridge, VA 22192-2482
Phone: (571) 243-1845

Authorised official

Name: Orlando Small
Title: Ceo
Phone: (202) 436-5386

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (VA)

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Registry record

NPI: 1003240722
Entity type: Organization
NPI issued: 29 Aug 2013
Record last updated: 29 Aug 2013

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.