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Organization

CREATIVE EDGE INNOVATIONS

Active
Parent organization
CREATIVE EDGE INNOVATIONS
Organization subpart
Yes

Provider details

NPI number
Legal business name
CREATIVE EDGE INNOVATIONS
Authorized official
MR. BRENTON MICHAEL THORNTON (OWNER)
(313) 920-7087
Entity
Organization

Contact information

Practice address
7889 MILLWOOD DR, WESTLAND, MI 48185-1495
(313) 920-7087
Mailing address
7889 MILLWOOD DR, WESTLAND, MI 48185-1495
(313) 920-7087

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BN1400X
Nursing Facility Supplies (DME)

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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