Organization
KHIRO KREATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA JOYCE PINKNEY (OWNER)
(813) 362-1236
Entity
Organization
Contact information
Practice address
6511 RUNNINGWOODS DR, TAMPA, FL 33634-4721
(813) 352-5764
Mailing address
1002B S CHURCH AVE, #18412, TAMPA, FL 33679-9001
(813) 362-1236
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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