Organization Name: | COMMUNITY INNOVATIONS |
NPI Number: | 1760854681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD E JONES (SENIOR VP) |
Mailing Address: | 3210 Fairhill Dr Raleigh |
State: | NC US |
Postal Code: | 276123215 |
Phone Number: | 9192560824 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2015 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC2950 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |