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Organization
CREATIVE LIVING COMMUNITY CARE, LLC
Active
Organization
CREATIVE LIVING COMMUNITY CARE, LLC
Active
Other names
CHRISTIAN LIVING COMMUNITY CARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEMENT POWNALL (PRESIDENT)
(860) 640-0660
Entity
Organization
Contact information
Practice address
200 HIGH ST., WINDSOR, CT 06095-1100
(860) 640-0660
(860) 640-4836
Mailing address
200 HIGH ST., WINDSOR, CT 06095-1100
(860) 640-0660
(860) 640-4836
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
HCA0000240
CT
261QA0600X
Adult Day Care Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/12/2015
Last updated
02/29/2024
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