Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A CARRINGTON MBA (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
1700 HARVARD ST NW, APT. 304, WASHINGTON, DC 20009-2967
(301) 270-4750
(301) 270-4754
Mailing address
1700 HARVARD ST NW, APT. 304, WASHINGTON, DC 20009-2967
(301) 270-4750
(301) 270-4754
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038730400
—
DC
Enumeration date
09/24/2009
Last updated
09/24/2009
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