Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A. CARRINGTON (PRESIDENT /CEO)
(301) 270-4750
Entity
Organization
Contact information
Practice address
3043 BLADENSBURG RD NE, WASHINGTON, DC 20018-2233
(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
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
TBA
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBA
—
DC
Enumeration date
06/17/2015
Last updated
10/19/2020
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