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Organization

CREATIONS-UNLIMITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY ROSE (OWNER/CEO)
(804) 519-8009
Entity
Organization

Contact information

Practice address
318 MOORE ST, LAKE CITY, SC 29560-2551
(804) 519-8009
(804) 525-5444
Mailing address
6453 GOLDENROD CT, HENRICO, VA 23231-5330
(804) 519-8009
(804) 525-5444

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/10/2014
Last updated
06/10/2014
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