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Organization
NEW CREATIVE IN HOME CARE
Active
Organization
NEW CREATIVE IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARISSA ROBERSON (OWNER/ADMINISTRATOR)
(903) 707-0319
Entity
Organization
Contact information
Practice address
6011 WILSHIRE DR, TYLER, TX 75703-4162
(903) 707-0319
Mailing address
6011 WILSHIRE DR, TYLER, TX 75703-4162
(903) 707-0319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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