Provider Demographics
NPI:1497364277
Name:CREATIVE SOLUTIONS
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS
Other - Org Name:HEALTH RESOURCE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-395-6518
Mailing Address - Street 1:10133 ORCHARD GRASS CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7853
Mailing Address - Country:US
Mailing Address - Phone:980-999-0382
Mailing Address - Fax:
Practice Address - Street 1:10133 ORCHARD GRASS CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7853
Practice Address - Country:US
Practice Address - Phone:980-999-0382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare