Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCOMMUNITY INNOVATIONS, INC. 53
Intermediate Care Facility, Mentally Retarded
Clarkton, North Carolina
Provider NPI: 1497832471
Organization Information:Organization Name: COMMUNITY INNOVATIONS, INC. 53
Practice Location:
68 MITCHELL FORD ROAD CLARKTON, NC 28433 US
Tel: 910-647-2801 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
68 MITCHELL FORD ROAD CLARKTON, NC 28433 US
Tel: 910-647-2801 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | NC | MHL009009 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 340601X | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
