Organization
COMMUNITY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD E JONES JR. (SENIOR VP)
(919) 256-0824
Entity
Organization
Contact information
Practice address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
HC2950
NC
Other
Enumeration date
10/30/2015
Last updated
04/12/2016
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