Organization
CREATIVE PLAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEATH D KINNEY (OWBER)
(910) 670-0362
Entity
Organization
Contact information
Practice address
143 INDEPENDENCE DR, RAEFORD, NC 28376-5987
(910) 670-0362
Mailing address
143 INDEPENDENCE DR, RAEFORD, NC 28376-5987
(910) 670-0362
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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