OrganizationActive
Individual Development Inc
NPI 1205014347 · Intellectual Disabilities Intermediate Care Facility · Washington, DC
Provider details
- NPI number
- 1205014347
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Ronald Raghunandan, Cfo Ceo
Practice location
3020 Stanton Road Se
Washington, DC 20020
Phone: (202) 610-2724
Fax: (202) 610-1019
Mailing address
1420 N Street Nw
Washington, DC 20005
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2008-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.