Organization
INNOVATIVE LIFE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A CARRINGTON MBA, PT (EXECUTIVE DIRECTOR)
(301) 270-4750
Entity
Organization
Contact information
Practice address
300 HAMILTON ST NE, APT. T12, WASHINGTON, DC 20011-6305
(301) 270-4750
(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
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038730400
—
DC
Enumeration date
05/21/2008
Last updated
05/21/2008
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