Organization
INDIVIDUAL DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD RAGHUNANDAN (CFO CEO)
(202) 518-0314
Entity
Organization
Contact information
Practice address
6520 FIRST STREET NW, WASHINGTON, DC 20012
(202) 722-8414
(202) 882-8142
Mailing address
1420 N STREET NW, SUITE #9, WASHINGTON, DC 20005
(202) 518-0314
(202) 518-9685
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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