NPI 1306023759

Individual Development INC

Organisation Intellectual Disabilities Intermediate Care Facility Washington, DC

Practice location

Address: 4515 Edson Place NE, Washington, DC 20019
Phone: (202) 396-8117
Fax: (202) 396-8126
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

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in District of Columbia →

Registry record

NPI: 1306023759
Entity type: Organization
NPI issued: 29 Jan 2008
Record last updated: 29 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.