Creative Supports, INC
NPI #1598828147 in Kansas City, Missouri
Provider Information
- NPI Number
- 1598828147
- Entity Type
- Organization
- Organization Name
- Creative Supports, INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1511 NE PARVIN RD
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64116-2304
- Phone
- (816) 452-6194
Authorized Official
- Name
- MRS. DANA LANICE GUYER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (816) 452-6194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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| MS. Wendy Lynette Aven | |
| Charles Mutumba | |
| MS. April Michelle Threets | |
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Organizations
| Provider Name | |
|---|---|
| Joystar Group Homes LLC |
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