NPI 1295912368
Individual Development INC
Practice location
- Address
- 3312 4th Street SE, Washington, DC 20032
- Phone
- (202) 563-5688
- Fax
- (202) 563-5512
- Mailing address
- 1420 N Street NW Suite #9, Washington, DC 20005
Authorised official
- Name
- Ronald Raghunandan
- Title
- Cfo Ceo
- Phone
- (202) 518-0314
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1295912368
- Entity type
- Organization
- NPI issued
- 30 Jan 2008
- Record last updated
- 30 Jan 2008
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.