Organization
COMMUNITY HOUSING INNOVATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIBASA SAMUEL (ADMINISTRATIVE PROGRAM MANAGER)
(631) 727-8167
Entity
Organization
Contact information
Practice address
629 W MAIN ST, RIVERHEAD, NY 11901-2842
(631) 727-8167
(631) 727-8101
Mailing address
629 W MAIN ST, RIVERHEAD, NY 11901-2842
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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