Whalio Doctors

NPI 1497389860

Developmental Impact, LLC

Organisation Supports Brokerage Agency Bowie, MD

Practice location

Address
15610 Passaie Ln, Bowie, MD 20716-1443
Phone
(240) 408-6167
Fax
(301) 249-4324

Authorised official

Name
Lauretta Reffell Beard
Title
Ceo
Phone
(240) 408-6167

Registered specialties

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X

Registry record

NPI
1497389860
Entity type
Organization
NPI issued
25 Feb 2020
Record last updated
25 Feb 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.