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General NPI Number Information
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NPI Number | 1891227526
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Entity Type | Organization
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Legal Business Name | CREATIVE CARE SERVICES, INC
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 34360 HARPER AVE
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City | CLINTON TWP
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State | MI
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Zip | 48035-3704
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Country | US
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Telephone | 586-792-1300
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Fax | 586-792-3700
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Provider Business Mailing Address
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Address Line | PO BOX 463184
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City | MOUNT CLEMENS
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State | MI
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Zip | 48046-3184
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Country | US
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Telephone | 586-792-1300
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Fax | 586-792-3700
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Authorized Official
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Title or Position | CO-OWNER/DIRECTOR
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Name | MRS. CHRISTY JO HALEY
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Credential |
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Telephone | 586-792-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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