Organization
CREATIVE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA L REDMAN (CEO)
(903) 595-5644
Entity
Organization
Contact information
Practice address
1611 E 5TH ST, TYLER, TX 75701-3432
(903) 595-5644
(903) 526-0881
Mailing address
1611 E 5TH ST, TYLER, TX 75701-3432
(903) 595-5644
(903) 526-0881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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