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Organization
CREATIVE ENDINGS SOCIAL SERVICES, LLC
Active
Organization
CREATIVE ENDINGS SOCIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON LEE THOMAS III JD (DIRECTOR OF BUSINESS DEVELOPMENT)
(317) 622-4104
Entity
Organization
Contact information
Practice address
4165 MILLERSVILLE RD, INDIANAPOLIS, IN 46205-2989
(317) 622-4104
(317) 737-2320
Mailing address
4165 MILLERSVILLE RD, INDIANAPOLIS, IN 46205-2989
(317) 622-4104
(317) 737-2320
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IN
251C00000X
Developmentally Disabled Services Day Training Agency
—
IN
251S00000X
Community/Behavioral Health Agency
—
IN
252Y00000X
Early Intervention Provider Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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