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Organization

CULTURED CREATIVES DEVELOPMENT NON PROFIT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRESTON PERKINS JR. (AUTHORIZED OFFICIAL/ TRUSTEE,)
(503) 422-7798
Entity
Organization

Contact information

Practice address
5634 WEDGEFIELD ST, NORTH LAS VEGAS, NV 89081-2433
(503) 422-7798
Mailing address
5634 WEDGEFIELD ST, NORTH LAS VEGAS, NV 89081-2433
(503) 422-7798

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251G00000X
Community Based Hospice Care Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
261Q00000X
Clinic/Center
261QP0904X
Federal Public Health Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center
310400000X
Assisted Living Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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