Organization
INNOVATIVE LIFE OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY KING (DIRECTOR OF PROGRAM SUPPORTS)
(301) 270-4750
Entity
Organization
Contact information
Practice address
8484 GEORGIA AVE STE 900, SILVER SPRING, MD 20910-5604
(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
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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