# CREATIVE POTENTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creative Potential
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811574833
- **Authorized official:** MRS. SIERRA R DAVIS (OWNER)
- **Authorized official phone:** (860) 848-0514

## Contact information

- **Practice address:** 1031 NORWICH NEW LONDON TPKE UNIT 10, UNCASVILLE, CT 06382-1600
- **Practice address phone:** (860) 848-0514
- **Practice address fax:** (860) 848-0523
- **Mailing address:** 1031 NORWICH NEW LONDON TPKE UNIT 10, UNCASVILLE, CT 06382-1600
- **Mailing address phone:** (860) 848-0514
- **Mailing address fax:** (860) 848-0523

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 03/25/2021