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Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY KING (DIRECTOR OF BUSINESS SERVICES)
(301) 270-4750
Entity
Organization
Contact information
Practice address
1639 ROXANNA RD NW, WASHINGTON, DC 20012-1119
(301) 270-4750
(301) 270-4750
Mailing address
8484 GEORGIA AVE STE 900, SILVER SPRING, MD 20910-5604
(301) 270-4750
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639
—
DC
Enumeration date
10/04/2023
Last updated
10/04/2023
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