Organization
FLORRY CREATIVE CARE
Active
Parent organization
FLORRY CREATIVE CARE CORPORATION
Other names
Trudie's Haven
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORRY CREATIVE CARE CORPORATION
Authorized official
CHERRY HALLBACK (ADMINISTRATOR)
(813) 650-8242
Entity
Organization
Contact information
Practice address
1404 HOLLOMAN RD, PLANT CITY, FL 33567-3706
(813) 650-8242
(866) 240-5666
Mailing address
PO BOX 5636, PLANT CITY, FL 33563-0047
(813) 650-8242
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12847
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AL12847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692691696
—
FL
Enumeration date
06/12/2016
Last updated
01/09/2020
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