Organization
CREATIVE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE FAYE JOHNSON RN00137531 (PRESIDENT)
(509) 460-1825
Entity
Organization
Contact information
Practice address
1127 SUNSET ST, RICHLAND, WA 99354-2434
(509) 943-6292
(509) 946-5106
Mailing address
1604 JUDSON AVE, RICHLAND, WA 99354-2944
(509) 460-1825
(509) 943-1196
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750575
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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