Healthcare Provider Details

I. General information

NPI: 1982006052
Provider Name (Legal Business Name): CREET & COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2014
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 W CENTRAL AVE SUITE K
WINTER HAVEN FL
33880-2935
US

IV. Provider business mailing address

274 W CENTRAL AVE SUITE K
WINTER HAVEN FL
33880-2935
US

V. Phone/Fax

Practice location:
  • Phone: 863-268-8287
  • Fax: 863-968-2727
Mailing address:
  • Phone: 863-268-8287
  • Fax: 863-968-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. NACRESHA NICOLE RICHARDSON
Title or Position: ADMINISTRATOR/DIRECTOR
Credential: RN
Phone: 863-268-8287