Provider Demographics
NPI:1396860615
Name:INDIVIDUAL DEVELOPMENT INC
Entity Type:Organization
Organization Name:INDIVIDUAL DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAGHANANDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-518-0314
Mailing Address - Street 1:1420 N STREET NW
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-518-0314
Mailing Address - Fax:202-518-9685
Practice Address - Street 1:1230 CONGRESS STREET SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-561-5224
Practice Address - Fax:202-561-5231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD030098313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility