Organization
INNOVATIVE SOLUTIONS PERSONAL CARE HOME
Active
Organization
INNOVATIVE SOLUTIONS PERSONAL CARE HOME
Active
Other names
INNOVATIVE SOLUTIONS PERSONAL CARE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
TENESHA DENISE GIVENS LPN (OWNER/ADMINISTRATOR)
(229) 462-2055
Entity
Organization
Contact information
Practice address
569 PHYLLIS CIR, CAMILLA, GA 31730-6438
(229) 462-2055
Mailing address
569 PHYLLIS CIR, CAMILLA, GA 31730-6438
(229) 462-2055
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up