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General NPI Number Information
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NPI Number | 1932615895
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SENIOR SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 231 W LAMAR ST
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City | AMERICUS
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State | GA
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Zip | 31709-3544
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Country | US
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Telephone | 229-380-4719
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Fax | 229-380-0073
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Provider Business Mailing Address
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Address Line | P.O. BOX 456
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City | AMERICUS
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State | GA
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Zip | 31709-3544
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Country | US
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Telephone | 866-409-0582
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Fax |
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Authorized Official
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Title or Position | COO/RN
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Name | JESSICA WRIGHT
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Credential |
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Telephone | 866-409-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 129-R-0315
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License Number State | GA
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