Organization
CREATIVE LIVING COMMUNITY CARE, LLC
Active
Other names
CHRISTIAN LIVING COMMUNITY CARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLEMENT POWNALL (PRESIDENT)
(860) 640-0660
Entity
Organization
Contact information
Practice address
200 HIGH ST., WINDSOR, CT 06095-1100
(860) 640-0660
(860) 640-4836
Mailing address
200 HIGH ST., WINDSOR, CT 06095-1100
(860) 640-0660
(860) 640-4836
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
HCA0000240
CT
261QA0600X
Adult Day Care Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/12/2015
Last updated
02/29/2024
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