NPI 1215640693

Bloom & Beyond LLC

Organisation Early Intervention Provider Agency Waldorf, MD

Practice location

Address: 3081 Old Washington Rd, Waldorf, MD 20601-3122
Phone: (240) 803-5263

Authorised official

Name: Shante Lane
Title: Owner
Phone: (240) 803-5263

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Maryland →

Registry record

NPI: 1215640693
Entity type: Organization
NPI issued: 2 Jan 2023
Record last updated: 2 Jan 2023

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.