Organization
DIGITAL NETWORK GROUP, LLC
Active
Other names
Kinetic Potential
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM SMITH (CEO)
(301) 883-8256
Entity
Organization
Contact information
Practice address
1801 MCCORMICK DR STE 350, LARGO, MD 20774-5468
(301) 883-8256
Mailing address
1801 MCCORMICK DR STE 350, LARGO, MD 20774-5468
(301) 883-8256
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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