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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