# M D DEVELOPMENTAL AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M D Developmental Agency LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437941341
- **Authorized official:** DEBRA STEWART (CO-OWNER)
- **Authorized official phone:** (773) 407-7558

## Contact information

- **Practice address:** 2520 SAINT ROSE PKWY \# H2-216, HENDERSON, NV 89074-7783
- **Practice address phone:** (702) 268-8513
- **Practice address fax:** (702) 852-0430
- **Mailing address:** 2520 SAINT ROSE PKWY \# H2-216, HENDERSON, NV 89074-7783
- **Mailing address phone:** (702) 268-8513
- **Mailing address fax:** (702) 852-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2025
- **Last updated:** 05/19/2025