Organization
CREATIVE HEALTHCARE SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE OLEDIMMA (PRESIDENT)
(856) 979-9690
Entity
Organization
Contact information
Practice address
600 ROUTE 168, TURNERSVILLE, NJ 08012-1495
(856) 979-9690
Mailing address
320 COPPERFIELD DR, WILLIAMSTOWN, NJ 08094-9260
(856) 979-9690
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502499
—
NJ
Enumeration date
09/28/2017
Last updated
09/28/2017
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