Organization
INNOVATIVE LIFE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY KING (DIRECTOR OF BUSINESS SERVICES)
(301) 270-4750
Entity
Organization
Contact information
Practice address
6135 KANSAS AVE NE, WASHINGTON, DC 20011-1505
(301) 270-4750
Mailing address
8484 GEORGIA AVE STE 900, SILVER SPRING, MD 20910-5604
(202) 853-1306
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
—
6135
—
DC
Enumeration date
10/19/2023
Last updated
10/19/2023
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