# CARE INNOVATIONS OF NORTH CAROLINA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518474543
- **Authorized official:** TAWAKALIT OLUSESI (DIRECTOR)
- **Authorized official phone:** (919) 749-7677

## Contact information

- **Practice address:** 2409 HORTON RD, KNIGHTDALE, NC 27545-8594
- **Practice address phone:** (919) 373-0353
- **Practice address fax:** (919) 373-0353
- **Mailing address:** 2409 HORTON RD, KNIGHTDALE, NC 27545-8594
- **Mailing address phone:** (919) 373-0353
- **Mailing address fax:** (919) 373-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-236 | NC | Yes |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 12/29/2017
