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Organization
CREATIVE LIVING COMMUNITY SERVICES, LLC.
Active
Organization
CREATIVE LIVING COMMUNITY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN LAMURIEL WHITE (EXECUTIVE DIRECTOR)
(757) 487-6505
Entity
Organization
Contact information
Practice address
853 PARAPET RD, CHESAPEAKE, VA 23323-2419
(757) 487-6505
Mailing address
853 PARAPET RD, CHESAPEAKE, VA 23323-2419
(757) 487-6505
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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