National Provider Identifier Database

INNOVATIVE SOLUTIONS PERSONAL CARE HOME
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 SOLUTIONS PERSONAL CARE HOME
569 PHYLLIS CIR
CAMILLA, GA31730-6438
Phone: 229-462-2055
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE SOLUTIONS PERSONAL CARE HOME

NPI Number 1730621756
Legal business name
LBN
INNOVATIVE SOLUTIONS PERSONAL CARE HOME
Authorized official TENESHA GIVENS - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/08/2016
Last updated 11/08/2016 - About 10 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.

Reviews for INNOVATIVE SOLUTIONS PERSONAL CARE HOME

There are currently no reviews for INNOVATIVE SOLUTIONS PERSONAL CARE HOME


NPIdb - Home
v2.201