COMMUNITY INNOVATIONS INC 66
Nursing at Brookwood Ave, Kimesville, NC

License number
North Carolina MHL076022
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: ANDY ANDERSON
Title: PRESIDENT
Phone: (910) 642-5697
Address
Address 2
313 EAST Brookwood Ave, Kimesville, NC 27298
3210 Fairhill Dr, Raleigh, NC 27612
National Provider ID: 1932286010
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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