Creations-unlimited

NPI 1124431788 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1124431788
Enumeration Date 06/10/2014
Last Updated 06/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JERRY JERRY
Position OWNER/CEO
Phone (804) 519-8009
Fax (804) 525-5444
Practice Location
318 MOORE ST
LAKE CITY SC, 29560-2551, US
Phone (804) 519-8009
Fax (804) 525-5444
Business Location
6453 GOLDENROD CT
HENRICO VA, 23231-5330, US
Phone (804) 519-8009
Fax (804) 525-5444
Toxanomy
Taxonomy Code 252Y00000X
License State
License Number
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According to our database, Creations-unlimited NPI is 1124431788, taxonomy code is 252Y00000X Creations-unlimited physically located at 318 Moore St, Lake City SC, 29560-2551. NPI Number 1033115704 has the healthcare provider type.

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1124431788 NPI number is provided on an as is basis without warranty of any kind. 1124431788 is maintained by the National Plan & Provider Enumeration System. The contents of Creations-unlimited are for informational purposes only.