Community Innovations INC 63
NPI #1407931611 in Holly Springs, North Carolina
Provider Information
- NPI Number
- 1407931611
- Entity Type
- Organization
- Organization Name
- Community Innovations INC 63
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 904 AVENT FERRY RD
- City
- Holly Springs
- State
- North Carolina
- ZIP Code
- 27540-8416
- Phone
- (919) 577-6749
Authorized Official
- Name
- ANDY ANDERSON
- Title
- PRESIDENT
- Phone
- (910) 642-5697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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