Organization
INNOVATIVE LIFE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN CARRINGTON MBA, PT (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
7425 8TH ST NW, WASHINGTON, DC 20012-1811
(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
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
HFD03-0260
DC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
HFD12-0078
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038730400
—
DC
05
—
060560700
—
DC
Enumeration date
05/13/2008
Last updated
02/13/2012
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