Provider Demographics
NPI:1467754853
Name:CREATIVE CAREGIVERS
Entity Type:Organization
Organization Name:CREATIVE CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AREA MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NECHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-347-0920
Mailing Address - Street 1:33 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4737
Mailing Address - Country:US
Mailing Address - Phone:484-347-0920
Mailing Address - Fax:
Practice Address - Street 1:33 S 11TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4737
Practice Address - Country:US
Practice Address - Phone:484-347-0920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health