National Provider Identifier Database

INNOVATIVE LIFE OF MARYLAND
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

INNOVATIVE LIFE OF MARYLAND
8484 GEORGIA AVE STE 900
SILVER SPRING, MD20910-5604
Phone: 301-270-4750
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE LIFE OF MARYLAND

NPI Number 1043072853
Legal business name
LBN
INNOVATIVE LIFE OF MARYLAND
Authorized official SHERRY KING - (DIRECTOR OF PROGRAM SUPPORTS)
Entity Organization
Organization subpart No
Enumeration date 01/26/2024
Last updated 01/26/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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