# JCREATIVE3000

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jcreative3000HomeHealthCareAgency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427735117
- **Authorized official:** JACQUELINE SPROLES HHA (ADMINISTRATOR)
- **Authorized official phone:** (586) 625-9704

## Contact information

- **Practice address:** 3201 S EDSEL ST, DETROIT, MI 48217-2405
- **Practice address phone:** (586) 625-9704
- **Mailing address:** 3201 S EDSEL ST, DETROIT, MI 48217-2405
- **Mailing address phone:** (586) 625-9704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 376G00000X | Nursing Home Administrator | — | NULL | — |
| 376G00000X | Nursing Home Administrator | — | — | — |

## Other

- **Enumeration date:** 07/03/2023
- **Last updated:** 07/03/2023