| NPI | 1619115045 |
|---|---|
| Former Legal Business Name | INNOVATIVE CARE SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY EVANS President 937-269-3983 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2025-09-11 |