Organization
INNOVATIVE CARE NETWORK LLC
Active
Parent organization
INNOVATIVE CARE NETWORK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE CARE NETWORK LLC
Authorized official
KIANNA L FOSTER (OWNER/CEO)
(215) 279-1509
Entity
Organization
Contact information
Practice address
3750 WINNERS CIR APT 310, PALM HARBOR, FL 34684-4372
(215) 279-1509
Mailing address
30190 US HIGHWAY 19 N STE 1013, CLEARWATER, FL 33761-1044
(121) 527-9150
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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