Organization
INDIVIDUAL DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD RAGHUNANDAN (CFO CEO)
(202) 518-0314
Entity
Organization
Contact information
Practice address
3020 STANTON ROAD SE, WASHINGTON, DC 20020
(202) 610-2724
(202) 610-1019
Mailing address
1420 N STREET NW, SUITE #9, WASHINGTON, DC 20005
(202) 518-0314
(202) 518-9685
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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