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INNOVATIVE LIFE SOLUTIONS

Intermediate Care Mentally Retarded

Washington, District Of Columbia

Provider NPI: 1215064795

Organization Information:
Organization Name:  INNOVATIVE LIFE SOLUTIONS
Organization is not Subpart
Authorized Official:  DAVID ALLEN CARRINGOTON  EXECUTIVE DIRECTOR  301-2704750

Practice Location:
3259 O ST SE  WASHINGTON, DC 20020 US
Tel: 301-270-4750  Fax: 301-270-4754

Business Mailing Address:
6475 NEW HAMPSHIRE AVE SUITE 760 HYATTSVILLE, MD 20783 US
Tel: 301-270-4750  Fax: 301-270-4754

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
DCHFD03-0195









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