Organization · NPI-2
A Cre8tive Home Solution LLC
Adult Companion · Wimauma, FL
NPI number1568034353
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1568034353
- Entity type
- Organization (NPI-2)
- Legal business name
- A Cre8tive Home Solution LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- May 31, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
17214 Yellow Pine StWimauma, FL 33598-2413
Phone 813-433-0193
Mailing address
17214 Yellow Pine StWimauma, FL 33598-2413
Authorized official
Lashonda Smith
Financial Officer
7273072233
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