| NPI | 1164964003 |
|---|---|
| Doing Business As | CREATIVE IMAGE RESPITE CARE SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | CHANDRA RENA THOMAS CEO/Owner 662-379-0238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MS 385H00000X-RESPITE) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: 311ZA0620X-ADULTCARE) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |