OrganizationActive
Community Innovations Inc
NPI 1750469698 · Intellectual Disabilities Intermediate Care Facility · Holly Springs, NC
Provider details
- NPI number
- 1750469698
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Mary Benson, Revenue Cycle Director
- License
- MHL092131 (NC)
Practice location
912 Avent Ferry Rd
Holly Springs, NC 27540-8416
Phone: (919) 557-6337
Mailing address
4000 Paramount Pkwy Ste 100
Morrisville, NC 27560-8484
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.