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NPI 1649161555

NPI 1649161555 : SPECIAL CREATIONS : EUCLID, OH

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General NPI Number Information
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    NPI Number           |    1649161555
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPECIAL CREATIONS 
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Dates
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    Enumeration Date     |    07/10/2025
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    27801 EUCLID AVE 
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    City                 |    EUCLID
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    State                |    OH
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    Zip                  |    44132-3549
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    Country              |    US
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    Telephone            |    216-374-1731
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    737 QUILLIAMS RD 
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    City                 |    SOUTH EUCLID
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    State                |    OH
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    Zip                  |    44121-1965
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    Country              |    US
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    Telephone            |    216-773-2337
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     MARLANA  KENDRICKS 
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    Credential           |    
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    Telephone            |    216-773-2337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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