Organization
CREATIVE POTENTIAL LLC
Active
Other names
Creative Potential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIERRA R DAVIS (OWNER)
(860) 848-0514
Entity
Organization
Contact information
Practice address
912 NORWICH NEW LONDON TPKE STE 5, UNCASVILLE, CT 06382-1908
(860) 848-0514
(860) 848-0523
Mailing address
915 NORWICH NEW LONDON TPKE, UNIT 5, UNCASVILLE, CT 06382-1600
(860) 848-0514
(860) 848-0523
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
01/04/2022
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