Organization
A CRE8TIVE HOME SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA SMITH (FINANCIAL OFFICER)
(727) 307-2233
Entity
Organization
Contact information
Practice address
17214 YELLOW PINE ST, WIMAUMA, FL 33598-2413
(813) 433-0193
Mailing address
17214 YELLOW PINE ST, WIMAUMA, FL 33598-2413
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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