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COMMUNITY INNOVATIONS INC 60

Intermediate Care Facility, Mentally Retarded

Greensboro, North Carolina

Provider NPI: 1558446732

Organization Information:
Organization Name:  COMMUNITY INNOVATIONS INC 60


Practice Location:
908 WESTRIDGE RD  GREENSBORO, NC 27410 US
Tel: 336-297-0890  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
NCMHL011017

Other Provider Identifiers:

IssuerNumberStateType
3416202NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS NC - Page 1



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