Whalio Doctors

NPI 1033294376

Community Innovations INC.

Organisation Intellectual Disabilities Intermediate Care Facility Fair Bluff, NC

Practice location

Address
353 Elm St, Fair Bluff, NC 28439-9594
Phone
(910) 649-6460
Mailing address
4000 Paramount Pkwy STE 100, Morrisville, NC 27560-8484

Authorised official

Name
Mary Johns Benson
Title
Revenue Cycle Director
Phone
(704) 995-2131

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence MHL024021 (NC)

Registry record

NPI
1033294376
Entity type
Organization
NPI issued
26 Oct 2006
Record last updated
15 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.