Organization
INNOVATIVE LIFE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN CARRINGTON PT, MBA (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
114 DIVISION AVE NE, WASHINGTON, DC 20019-5324
(301) 270-4754
(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
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
HFD03-0203
DC
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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