NPI 1043072853
Innovative Life of Maryland
Practice location
- Address
- 8484 Georgia Ave STE 900, Silver Spring, MD 20910-5604
- Phone
- (301) 270-4750
Authorised official
- Name
- Sherry King
- Title
- Director of Program Supports
- Phone
- (301) 270-4750
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1043072853
- Entity type
- Organization
- NPI issued
- 26 Jan 2024
- Record last updated
- 26 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.