Organization
CREATIVE CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE JACQUES (ADMINISTRATOR)
(561) 229-3761
Entity
Organization
Contact information
Practice address
2393 S CONGRESS AVE STE 200, PALM SPRINGS, FL 33406-7628
(561) 229-3761
Mailing address
2393 S CONGRESS AVE STE 200, PALM SPRINGS, FL 33406-7628
(561) 229-3761
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/24/2022
Last updated
02/24/2022
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