# CREATIVE SENIOR IN HOME CARE SERVICE LLC

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

## Provider details

- **NPI number:** 1972006286
- **Authorized official:** EARL ACOSTA (OWNER)
- **Authorized official phone:** (813) 995-5574

## Contact information

- **Practice address:** 6151 LAKE OSPREY DR FL 3, LAKEWOOD RANCH, FL 34240-8419
- **Practice address phone:** (941) 373-1400
- **Practice address fax:** (941) 373-1401
- **Mailing address:** 6151 LAKE OSPREY DR FL 3, LAKEWOOD RANCH, FL 34240-8419
- **Mailing address phone:** (941) 373-1400
- **Mailing address fax:** (941) 373-1401

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 03/13/2018