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Creative Community Care
Intellectual Disabilities Intermediate Care Facility in Tyler, Texas
NPI 1992844757

Creative Community Care is a Intellectual Disabilities Intermediate Care Facility based in Tyler, TX. Creative Community Care practices in Tyler, TX. The NPI Number for Creative Community Care is 1992844757 and holds a License No. (Texas).

The current practice location address for Creative Community Care is 1611 E 5Th St, Tyler, TX and can be reached out via phone at 903-595-5644 and via fax at 903-526-0881. You can also correspond with Creative Community Care through the mailing address at 1611 E 5TH ST, TYLER, TX - 75701-3432 (mailing address contact number: 903-595-5644).

Location: 1611 E 5Th St, Tyler, TX, 75701-3432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992844757
Provider Name
Creative Community Care
Credential
Provider Entity Type
Organization
Address
1611 E 5Th St, Tyler, TX, 75701-3432
Phone Number
903-595-5644
Fax Number
903-526-0881
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1611 E 5Th St
City
Tyler
State
Texas
Zip
75701-3432
Phone Number
903-595-5644
Fax Number
903-526-0881
person
Provider Business Mailing Address Details
Address
1611 E 5Th St
City
Tyler
State
Texas
Zip
75701-3432
Phone Number
903-595-5644
Fax Number
903-526-0881
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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