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Organization

BLOOM & BEYOND LLC

Active
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Organization

BLOOM & BEYOND LLC

Active
Other names
Bloom & Beyond LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTE LANE M.S. EDUCATION (OWNER)
(240) 803-5263
Entity
Organization

Contact information

Practice address
3081 OLD WASHINGTON RD, WALDORF, MD 20601-3122
(240) 803-5263
Mailing address
3081 OLD WASHINGTON RD, WALDORF, MD 20601-3122
(240) 803-5263

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/02/2023
Last updated
01/02/2023
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