Individual Development INC
Intermediate Care Facility, Intellectual Disabilities in Washington, DC. Organization (NPI-2).
NPI number1205014347
StatusActive
Last updated in NPPESJan 31, 2008
Details
- NPI
- 1205014347
- Entity type
- Organization (NPI-2)
- Legal business name
- Individual Development INC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2008
- Last updated
- Jan 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
3020 Stanton Road SeWashington, DC 20020
Phone 202-610-2724 · Fax 202-610-1019
Mailing address
1420 N Street NwSuite #9
Washington, DC 20005
Phone 202-518-0314 · Fax 202-518-9685
Authorized official
Ronald Raghunandan
Cfo Ceo
2025180314
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