Organization
FLORRY CREATIVE CARE CORPORATION
Active
Parent organization
FORRY CREATIVE CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORRY CREATIVE CARE CORPORATION
Authorized official
MS. CHERRY KAY HALLBACK (PROGRAM COORDINATOR)
(813) 650-8242
Entity
Organization
Contact information
Practice address
415 N WILDER RD, PLANT CITY, FL 33566-7544
(813) 441-4761
(866) 240-5666
Mailing address
PO BOX 5636, PLANT CITY, FL 33563-0047
(813) 650-8242
(813) 650-8242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL11825
FL
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311ZA0620X
Adult Care Home Facility
692691696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002437100
—
FL
05
—
104395400
—
FL
05
—
6292691696
—
FL
Enumeration date
12/31/2007
Last updated
01/09/2020
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