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NPI Code Detail

MEDICARE: COMMUNITY INNOVATIONS, INC

MEDICARE: COMMUNITY INNOVATIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1558519017
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY INNOVATIONS, INC
Provider Business Mailing Address
First Line : PO BOX 19979
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70179-0979
Country : US
Telephone Number : 504-483-2133
Fax Number : 504-284-5734
Provider Business Practice Location Address
First Line : 137 N CLARK ST
Second Line : L4
City : NEW ORLEANS
State : LA
Zip : 70119-5207
Country : US
Telephone Number : 504-483-2133
Fax Number : 504-284-5734
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. JOSIE LOUISE WHITE
Credential : MPA MED NCC LPC LMFT
Telephone Number : 504-483-2133
Provider Enumeration Date : 09/08/2008
Last Update Date : 09/08/2008

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Directions to “COMMUNITY INNOVATIONS, INC ” Practice Location

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