Organization
INNOVATIVE LIFE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY KING (DIRECTOR OF PROGRAM SUPPORTS)
(301) 270-4750
Entity
Organization
Contact information
Practice address
1342 TEWKESBURY PL NW, WASHINGTON, DC 20012-2922
(301) 270-4750
Mailing address
8484 GEORGIA AVE STE 900, SILVER SPRING, MD 20910-5604
(301) 270-4750
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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