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Organization

IMPACT FOR DEVELOPMENTAL EDUCATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY S BEELER (EXECUTIVE DIRECTOR)
(239) 334-6160
Entity
Organization

Contact information

Practice address
1650 MEDICAL LANE SUITE 4, FORT MYERS, FL 33907-1116
(239) 334-6160
(239) 334-1339
Mailing address
P.O. BOX 51319, FORT MYERS, FL 33994-1119
(239) 334-6160
(239) 334-1339

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
252Y00000X
Early Intervention Provider Agency
Primary
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811806000
FL
Enumeration date
02/14/2007
Last updated
03/07/2023
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