Organization
INNOVATION HEALTHCARE SOLUTION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KATETIA BENNETT PHD (AGENCY DIRECTOR)
(336) 986-3046
Entity
Organization
Contact information
Practice address
3500 VEST MILL RD STE 33, WINSTON SALEM, NC 27103-2978
(336) 934-5354
(877) 445-5698
Mailing address
3837 CRUSADE DR, WINSTON SALEM, NC 27101-2252
(336) 986-3046
(877) 445-5698
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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