Creative Community Living Services, INC.
Day Training, Developmentally Disabled Services in Watertown, WI. Organization (NPI-2).
NPI number1265625834
StatusActive
Last updated in NPPESAug 27, 2007
Details
- NPI
- 1265625834
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Community Living Services, INC.
- Organization subpart
- No
- Enumeration date
- Aug 27, 2007
- Last updated
- Aug 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
Practice location
314 E Main StWatertown, WI 53094-3749
Phone 920-261-1345
Mailing address
314 E Main StP.O. Box 260
Watertown, WI 53094-3749
Phone 920-261-1345
Authorized official
Luanne M. Barnet
President
9202611345
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