| NPI | 1043990666 |
|---|---|
| Doing Business As | JCREATIVE3000HOMEHEALTHCAREAGENCY |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SPROLES Administrator 586-625-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |