| NPI | 1083451330 |
|---|---|
| Former Legal Business Name | CREATIVE COMFORT CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ALONZO LIDDELL Owner 505-506-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |