OrganizationActive
Innovative Life Solutions, Inc.
NPI 1225818479 · Intellectual Disabilities Intermediate Care Facility · Washington, DC
Provider details
- NPI number
- 1225818479
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sherry King, Director of Business Services(301) 270-4750
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1639 Roxanna Rd Nw
Washington, DC 20012-1119
Phone: (301) 270-4750
Fax: (301) 270-4750
Approximate (ZIP-level) locationGet directions
Mailing address
8484 Georgia Ave Ste 900
Silver Spring, MD 20910-5604
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.