Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN CARRINGTON (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
5000 E CAPITOL ST NE, WASHINGTON, DC 20019-5326
(202) 399-0150
(202) 399-0151
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
DC
Enumeration date
05/31/2012
Last updated
05/31/2012
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