Creations-Unlimited
NPI #1124431788 in Lake City, South Carolina
Provider Information
- NPI Number
- 1124431788
- Entity Type
- Organization
- Organization Name
- Creations-Unlimited
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 10, 2014
- Last Updated
- Jun 10, 2014
Practice Location
- Address
- 318 MOORE ST
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2551
- Phone
- (804) 519-8009
Authorized Official
- Name
- MR. JERRY ROSE
- Title
- OWNER/CEO
- Phone
- (804) 519-8009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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