location
search-icon
institution
Community Innovations Inc 63
Intellectual Disabilities Intermediate Care Facility in Holly Springs, North Carolina
NPI 1407931611

Community Innovations Inc 63 is a Intellectual Disabilities Intermediate Care Facility based in Raleigh, NC. Community Innovations Inc 63 practices in Holly Springs, NC. The NPI Number for Community Innovations Inc 63 is 1407931611 and holds a License No. MHL092126 (North Carolina).

The current practice location address for Community Innovations Inc 63 is 904 Avent Ferry Rd, Holly Springs, NC and can be reached out via phone at 919-577-6749.

Location: 904 Avent Ferry Rd, Holly Springs, NC, 27612-3220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407931611
Provider Name
Community Innovations Inc 63
Credential
Provider Entity Type
Organization
Address
904 Avent Ferry Rd, Holly Springs, NC, 27612-3220
Phone Number
919-577-6749
Fax Number
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
340605J 05 NC
institution
Provider Business Practice Location Address Details
Address
904 Avent Ferry Rd
City
Holly Springs
State
North Carolina
Zip
27540-8416
Phone Number
919-577-6749
Fax Number
person
Provider Business Mailing Address Details
Address
904 Avent Ferry Rd
City
Holly Springs
State
North Carolina
Zip
27540-8416
Phone Number
919-577-6749
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL092126 (North Carolina)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.