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Organization
CREATIONS OF CARE HOME CARE LLC.
Active
Organization
CREATIONS OF CARE HOME CARE LLC.
Active
Other names
COCHC
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GUSTA (OWNER)
(228) 641-7561
Entity
Organization
Contact information
Practice address
2434 PASS RD # D-13, BILOXI, MS 39531-2121
(228) 641-7561
(844) 836-2419
Mailing address
930 JEFFERSON DR, GULFPORT, MS 39507-3816
(228) 641-7561
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832468397
PHLEBOTOMY
MS
01
—
HOMECARE
HOME CARE
MS
Enumeration date
12/29/2021
Last updated
05/11/2023
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