Organization
COMMUNITY INNOVATIONS, INC.
Active
Organization
COMMUNITY INNOVATIONS, INC.
Active
Parent organization
COMMUNITY INNOVATIONS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY INNOVATIONS, INC
Authorized official
MR. ANDY ANDERSON (OWNER/CEO)
(910) 739-8849
Entity
Organization
Contact information
Practice address
410 PEANUT PLANT ROAD, ELIZABETHTOWN, NC 28337-7103
(910) 862-8363
(910) 862-8767
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300962B
—
NC
Enumeration date
10/18/2006
Last updated
12/17/2008
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