Organization
CREATIONS OF CARE HOME CARE LLC.
Active
Other names
COCHC
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GUSTA (OWNER)
(228) 641-7561
Entity
Organization
Contact information
Practice address
2434 PASS RD # D-13, BILOXI, MS 39531-2121
(228) 641-7561
(844) 836-2419
Mailing address
930 JEFFERSON DR, GULFPORT, MS 39507-3816
(228) 641-7561
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832468397
PHLEBOTOMY
MS
01
—
HOMECARE
HOME CARE
MS
Enumeration date
12/29/2021
Last updated
05/11/2023
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