COMMUNITY INNOVATIONS INC. 56
Intermediate Care Facility, Mentally Retarded
Orrum, North Carolina
Provider NPI: 1932287877
Organization Information:Organization Name: COMMUNITY INNOVATIONS INC. 56
Practice Location:
483 S CREEK RD ORRUM, NC 28369 US
Tel: 910-738-1967 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:
483 S CREEK RD ORRUM, NC 28369 US
Tel: 910-738-1967 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 | MHL078069 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
340609H | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin