# INNOVATIVE SENIOR SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Care at Home of Northwest Louisiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750968566
- **Authorized official:** ROBERT D SMITH (MEMBER)
- **Authorized official phone:** (318) 861-4632

## Contact information

- **Practice address:** 8321 LINE AVE STE 200, SHREVEPORT, LA 71106-5923
- **Practice address phone:** (318) 861-4632
- **Practice address fax:** (318) 861-0851
- **Mailing address:** 8321 LINE AVE STE 200, SHREVEPORT, LA 71106-5923
- **Mailing address phone:** (318) 861-4632
- **Mailing address fax:** (318) 861-0851

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/26/2021