# A CRE8TIVE HOME SOLUTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568034353
- **Authorized official:** LASHONDA SMITH (FINANCIAL OFFICER)
- **Authorized official phone:** (727) 307-2233

## Contact information

- **Practice address:** 17214 YELLOW PINE ST, WIMAUMA, FL 33598-2413
- **Practice address phone:** (813) 433-0193
- **Mailing address:** 17214 YELLOW PINE ST, WIMAUMA, FL 33598-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 07/12/2021