Organization
INNOVATIVE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA BURNETT (OWNER)
(770) 912-1909
Entity
Organization
Contact information
Practice address
741 WOODSTONE RD, LITHONIA, GA 30058-8298
(770) 912-1909
Mailing address
741 WOODSTONE RD, LITHONIA, GA 30058-8298
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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