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
5306 EASTERN AVE NE, WASHINGTON, DC 20011-2717
(301) 270-4750
(301) 270-4754
Mailing address
6475 NEW HAMPSHIRE AVE, WASHINGTON, 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
—
037726900
—
DC
Enumeration date
02/09/2015
Last updated
08/26/2020
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