# INNOVATIVE NURSING SOLUTIONS OF GEORGIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovative Nursing Soultions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518593946
- **Authorized official:** PHYLLIS DOVE-EDWIN RN (ADMINISTRATOR)
- **Authorized official phone:** (678) 806-5949

## Contact information

- **Practice address:** 1818 LAKEFIELD CT SE STE B, CONYERS, GA 30013-6610
- **Practice address phone:** (678) 806-5949
- **Practice address fax:** (678) 609-1641
- **Mailing address:** 1818 LAKEFIELD CT SE STE B, CONYERS, GA 30013-6610
- **Mailing address phone:** (678) 806-5900
- **Mailing address fax:** (678) 203-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 08/09/2021