# CREATIVE CARE INC.

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

## Provider details

- **NPI number:** 1669895454
- **Authorized official:** VALERIE FAYE JOHNSON RN00137531 (PRESIDENT)
- **Authorized official phone:** (509) 460-1825

## Contact information

- **Practice address:** 1127 SUNSET ST, RICHLAND, WA 99354-2434
- **Practice address phone:** (509) 943-6292
- **Practice address fax:** (509) 946-5106
- **Mailing address:** 1604 JUDSON AVE, RICHLAND, WA 99354-2944
- **Mailing address phone:** (509) 460-1825
- **Mailing address fax:** (509) 943-1196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750575 | WA | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 01/29/2014