Organization
CREATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN SMITH (ADMINISTRATOR)
(907) 903-0443
Entity
Organization
Contact information
Practice address
11401 THUNDERBRUSH CIR, ANCHORAGE, AK 99516-1728
(907) 903-0443
Mailing address
11401 THUNDERBRUSH CIR, ANCHORAGE, AK 99516-1728
(907) 903-0443
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/31/2022
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