Organization
INNOVATIVE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERLLANNE OCCEUS (OWNER)
(239) 738-8688
Entity
Organization
Contact information
Practice address
734 ROBIN HOOD DR, HINESVILLE, GA 31313-3985
(239) 738-8688
Mailing address
734 ROBIN HOOD DR, HINESVILLE, GA 31313-3985
(239) 738-8688
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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