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Organization
CREATIVE IMAGE PERSONAL CARE SERVICES LLC
Active
Organization
CREATIVE IMAGE PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDRA RENA THOMAS (CEO/OWNER)
(662) 379-0238
Entity
Organization
Contact information
Practice address
503 HWY 82 EAST, INDIANOLA, MS 38751
(662) 379-0238
(662) 887-8050
Mailing address
216 FRENCH ROAD, INDIANOLA, MS 38751
(662) 379-0238
(662) 887-8050
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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