Organization
INNOVATIVE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA DENISE ADAMS (OWNER)
(803) 324-7465
Entity
Organization
Contact information
Practice address
406 WHITE ST E, ROCK HILL, SC 29730-1100
(803) 324-7465
Mailing address
406 WHITE ST E, ROCK HILL, SC 29730-1100
(803) 324-7465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EY1149
—
SC
Enumeration date
10/20/2023
Last updated
10/20/2023
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