| NPI | 1730621756 |
|---|---|
| Doing Business As | INNOVATIVE SOLUTIONS PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | TENESHA DENISE GIVENS Owner/Administrator 229-462-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |