Organization
NEW CREATION HOMES AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA BRADLEY (OWNER)
(352) 317-1550
Entity
Organization
Contact information
Practice address
5310 NW 234TH AVE, ALACHUA, FL 32615-4144
(352) 317-1550
Mailing address
5310 NW 234TH AVE, ALACHUA, FL 32615-4144
(352) 317-1550
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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