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Community Innovations Inc
Intellectual Disabilities Intermediate Care Facility in Liberty, North Carolina
NPI 1932286010

Community Innovations Inc is a Intellectual Disabilities Intermediate Care Facility based in Morrisville, NC. Community Innovations Inc practices in Liberty, NC. The NPI Number for Community Innovations Inc is 1932286010 and holds a License No. MHL076022 (North Carolina).

The current practice location address for Community Innovations Inc is 313 E Brookwood Avenue, Liberty, NC and can be reached out via phone at 336-622-3003.

Location: 313 E Brookwood Avenue, Liberty, NC, 27560-8484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932286010
Provider Name
Community Innovations Inc
Credential
Provider Entity Type
Organization
Address
313 E Brookwood Avenue, Liberty, NC, 27560-8484
Phone Number
336-622-3003
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340608F 05 NC
institution
Provider Business Practice Location Address Details
Address
313 E Brookwood Avenue
City
Liberty
State
North Carolina
Zip
27298-2608
Phone Number
336-622-3003
Fax Number
person
Provider Business Mailing Address Details
Address
313 E Brookwood Avenue
City
Liberty
State
North Carolina
Zip
27298-2608
Phone Number
336-622-3003
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
MHL076022 (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.
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