Organization
CREATIVE LIFESTYLES HOME CARE INC
Active
Organization
CREATIVE LIFESTYLES HOME CARE INC
Active
Other names
Montiano Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
CLAREL MARTINE (CEO)
(323) 758-9539
Entity
Organization
Contact information
Practice address
1022 W FLORENCE AVE, LOS ANGELES, CA 90044-2442
(323) 758-9539
Mailing address
1022 W FLORENCE AVE, LOS ANGELES, CA 90044-2442
(323) 758-9539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
05/28/2019
Last updated
06/26/2021
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