Organization
FLORRY CREATIVE CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY TWIGGS ADMINISTRATOR (ADMINISTRATOR)
(813) 704-6918
Entity
Organization
Contact information
Practice address
1404 HOLLOMAN ROAD, PLANT CITY, FL 33567
(813) 704-6918
(866) 240-5666
Mailing address
P.O. BOX 5636, PLANT CITY, FL 33563
(813) 704-6918
(813) 441-7555
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
30211664
FL
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009625101
—
FL
01
—
30211664
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
06/12/2014
Last updated
01/30/2023
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