Organization
CREATIVE INNOVATION AFH LLC
Active
Other names
Creative Innovation AFH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAREG OMER (PROVIDER)
(725) 600-2328
Entity
Organization
Contact information
Practice address
7835 197TH AVE E, BONNEY LAKE, WA 98391-7118
(725) 600-2328
Mailing address
7835 197TH AVE E, BONNEY LAKE, WA 98391-7118
(725) 600-2328
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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