Healthcare Provider Details

I. General information

NPI: 1255278024
Provider Name (Legal Business Name): CREME DE LA CREME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 SAINT MARYS RD
COLUMBUS GA
31906-4560
US

IV. Provider business mailing address

3639 SAINT MARYS RD
COLUMBUS GA
31906-4560
US

V. Phone/Fax

Practice location:
  • Phone: 706-221-8001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TAMMY S. WALKER
Title or Position: OWNER
Credential:
Phone: 762-766-1528