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Organization
INNOVATIVE LIFE SOLUTIONS
Active
Organization
INNOVATIVE LIFE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN CARRINGOTON PT, MBA (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
3259 O ST SE, WASHINGTON, DC 20020-2315
(301) 270-4750
(301) 270-4754
Mailing address
6475 NEW HAMPSHIRE AVE, SUITE 760, HYATTSVILLE, MD 20783-3269
(301) 270-4750
(301) 270-4754
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
HFD03-0195
DC
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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