Organization
INNOVATIVE LIFE SOLUTIONS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A. CARRINGTON MBA (PRESIDENT/CEO)
(301) 270-4750
Entity
Organization
Contact information
Practice address
4954 ASTOR PL SE, WASHINGTON, DC 20019-6251
(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
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038730400
—
DC
Enumeration date
02/09/2015
Last updated
02/09/2015
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