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Organization
JCREATIVE3000
Active
Organization
JCREATIVE3000
Active
Other names
Jcreative3000HomeHealthCareAgency
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SPROLES HHA (ADMINISTRATOR)
(586) 625-9704
Entity
Organization
Contact information
Practice address
3201 S EDSEL ST, DETROIT, MI 48217-2405
(586) 625-9704
Mailing address
3201 S EDSEL ST, DETROIT, MI 48217-2405
(586) 625-9704
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
376G00000X
Nursing Home Administrator
—
NULL
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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