Organization
CREATIVE COMMUNITY OPTIONS INC
Active
Other names
Candeo
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY M DAVIS MBA (CEO)
(515) 259-8120
Entity
Organization
Contact information
Practice address
9550 WHITE OAK LN, JOHNSTON, IA 50131-2294
(515) 259-8110
(515) 259-8109
Mailing address
9550 WHITE OAK LN, JOHNSTON, IA 50131-2294
(515) 259-8110
(515) 259-8109
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110718
—
IA
05
—
0283499
—
IA
05
—
1283499
—
IA
Enumeration date
03/08/2007
Last updated
11/27/2017
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