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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-GARRETT (OWNER)
(228) 641-7561
Entity
Organization
Contact information
Practice address
2434 D-13 PASS ROAD, BILOXI, MS 39531
(228) 641-7561
(844) 836-2419
Mailing address
2367 TRAFALGAR DR, BILOXI, MS 39531-2277
(228) 641-7561
(678) 827-0831
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
UNITED HEALTHCARE
MS
05
—
=========
—
MS
Enumeration date
11/04/2020
Last updated
09/23/2021
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