Organization
CREATIVE EXTENDED CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTINA MARIA MARQUEZ (CEO)
(786) 691-7790
Entity
Organization
Contact information
Practice address
14505 COMMERCE WAY, MIAMI LAKES, FL 33016-1597
(786) 691-7790
Mailing address
14505 COMMERCE WAY, 545, MIAMI LAKES, FL 33016
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
12/13/2024
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