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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
MR. DAVID ALLEN CARRINGTON MBA, PT (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
7425 8TH ST NW, WASHINGTON, DC 20012-1811
(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
HFD03-0260
DC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
HFD12-0078
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038730400
—
DC
05
—
060560700
—
DC
Enumeration date
05/13/2008
Last updated
02/13/2012
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