Innovative Life of Maryland
NPI #1043072853 in Silver Spring, Maryland
Provider Information
- NPI Number
- 1043072853
- Entity Type
- Organization
- Organization Name
- Innovative Life of Maryland
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 26, 2024
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 8484 GEORGIA AVE STE 900
- City
- Silver Spring
- State
- Maryland
- ZIP Code
- 20910-5604
- Phone
- (301) 270-4750
Authorized Official
- Name
- MRS. SHERRY KING
- Title
- DIRECTOR OF PROGRAM SUPPORTS
- Phone
- (301) 270-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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