OrganizationActive
Community Innovations Inc.
NPI 1033294376 · Intellectual Disabilities Intermediate Care Facility · Fair Bluff, NC
Provider details
- NPI number
- 1033294376
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Benson, Revenue Cycle Director(704) 995-2131
- License
- MHL024021 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
353 Elm St
Fair Bluff, NC 28439-9594
Phone: (910) 649-6460
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.