Organization
BERACHAH, LLC
Active
Organization
BERACHAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOSHEDA WILLETTE LIGHTFOOT (EXECUTIVE DIRECTOR/CEO)
(301) 877-6882
Entity
Organization
Contact information
Practice address
7311 SERENADE CIR, CLINTON, MD 20735-5874
(301) 877-6882
Mailing address
7311 SERENADE CIR, CLINTON, MD 20735-5874
(301) 877-6882
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2015
Last updated
06/07/2023
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