Organization
COMMUNITY HEALTH INNOVATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHASITY CUMMINGS (DIRECTOR)
(910) 522-0896
Entity
Organization
Contact information
Practice address
954 HEZEKIAH RD, PEMBROKE, NC 28372-9588
(910) 522-0896
(910) 522-0891
Mailing address
PO BOX 2305, PEMBROKE, NC 28372-2305
(910) 522-0896
(910) 522-0891
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418739
—
NC
05
—
6601929
—
NC
Enumeration date
11/12/2009
Last updated
03/16/2010
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