# CREATOR ORIGINAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053708735
- **Authorized official:** AUDREY R RICHARDS (PRESIDENT)
- **Authorized official phone:** (321) 299-6563

## Contact information

- **Practice address:** 6828 POMEROY CIR, ORLANDO, FL 32810-6575
- **Practice address phone:** (321) 299-6563
- **Practice address fax:** (407) 641-8693
- **Mailing address:** 6828 POMEROY CIR, ORLANDO, FL 32810-6575
- **Mailing address phone:** (321) 299-6563
- **Mailing address fax:** (407) 641-8693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230911 | FL | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015