OrganizationInnovative Family Support, LlcCommunity/Behavioral HealthAgenciesPractice Address103 Dresser Ct, Raleigh, NC 27609(919) 985-3151PECOS EnrollmentBased on the most recent information from CMS, provider Innovative Family Support, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1780941617Provider TypeOrganizationFull NameInnovative Family Support, LlcSubpartNoEnumeration Date4/17/2012Last Updated4/17/2012Contact InformationPractice LocationPractice Address103 Dresser Ct, Raleigh, NC 27609Phone(919) 985-3151FaxUnlisted FaxMailing LocationMailing Address7908 Clover Creek Ct, Raleigh, NC 27613-5217Phone(919) 985-3151FaxUnlisted FaxAuthorized OfficialNameBynum, Candice (Director)Phone(919) 985-3151Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted Issuer