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NPI Code Detail

MEDICARE: CREATING MOMENTS LLC

MEDICARE: CREATING MOMENTS LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1871206326
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREATING MOMENTS LLC
Provider Business Mailing Address
First Line : PO BOX 46795
Second Line :
City : BEDFORD
State : OH
Zip : 44146-0795
Country : US
Telephone Number : 330-949-1878
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE K
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 330-949-1878
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : EVELYN GARLAND
Credential :
Telephone Number : 404-213-5329
Provider Enumeration Date : 12/29/2022
Last Update Date : 12/29/2022

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Directions to “CREATING MOMENTS LLC ” Practice Location

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