Organization
CREATIVE CARE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA GRAY (ADMINISTRATOR)
(215) 439-2780
Entity
Organization
Contact information
Practice address
5855 WALTON AVE, PHILADELPHIA, PA 19143-2429
(215) 439-2780
Mailing address
5020 BEAUMONT AVE, PHILADELPHIA, PA 19143-3317
(215) 439-2780
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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