NPI 1043831357
Active Participant LLC
Practice location
- Address
- 7504 Belmar CT, Beltsville, MD 20705-1394
- Phone
- (301) 873-0766
Authorised official
- Name
- Vida Williams
- Title
- RN
- Phone
- (301) 873-0766
Registered specialties (2)
Nursing Care Agency
Primary
Home Health Agency
Registry record
- NPI
- 1043831357
- Entity type
- Organization
- NPI issued
- 28 Apr 2020
- Record last updated
- 28 Apr 2020
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.