Organization
CREATIVE LIVING. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE FLISS (EXECUTIVE DIRECTOR)
(501) 327-5234
Entity
Organization
Contact information
Practice address
350 HUBBARD RD, CONWAY, AR 72034-6153
(501) 327-5234
Mailing address
PO BOX 1990, CONWAY, AR 72033-1990
(501) 327-5234
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
AR
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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