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Organization
INNOVATIVE SENIOR HOME CARE
Active
Organization
INNOVATIVE SENIOR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORTLYND NESBITT (CO OWNER)
(610) 420-9624
Entity
Organization
Contact information
Practice address
1001 OLD CASSATT RD STE 206, BERWYN, PA 19312-1138
(610) 773-9943
Mailing address
PO BOX 1911, SOUTHEASTERN, PA 19399-1911
(610) 773-9943
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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