Organization
CREATIVE COMMUNITY LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANNE M. BARNET (PRESIDENT)
(920) 261-1345
Entity
Organization
Contact information
Practice address
314 E MAIN ST, WATERTOWN, WI 53094-3749
(920) 261-1345
Mailing address
314 E MAIN ST, P.O. BOX 260, WATERTOWN, WI 53094-3749
(920) 261-1345
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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