OrganizationActive
Individual Development Inc
NPI 1295912368 · Intellectual Disabilities Intermediate Care Facility · Washington, DC
Provider details
- NPI number
- 1295912368
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Ronald Raghunandan, Cfo Ceo
Practice location
3312 4th Street Se
Washington, DC 20032
Phone: (202) 563-5688
Fax: (202) 563-5512
Mailing address
1420 N Street Nw
Washington, DC 20005
Registry dates
- Enumerated
- 2008-01-30
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.