# CREATIVE SOLUTIONS COMPANION CARE SERVICE

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

## Provider details

- **NPI number:** 1790528552
- **Authorized official:** ANTHONY LAMONT BRADFORD (CEO)
- **Authorized official phone:** (561) 313-3453

## Contact information

- **Practice address:** 540 NW 165TH STREET RD STE 301, MIAMI, FL 33169-6345
- **Practice address phone:** (561) 412-4077
- **Mailing address:** 540 NW 165TH STREET RD STE 301, MIAMI, FL 33169-6345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2024
- **Last updated:** 06/18/2024