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1649005000
CREATIVE LIFE SUPPORT SERVICES LLC
COLUMBUS, OH
NPI
1649005000
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Entity Type
Organization
Authorized Contact
STEVEN MAYES
Owner
161-435-3615
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-09-05
Last Update Date
2024-12-20
Business Address
CREATIVE LIFE SUPPORT SERVICES LLC
810 KIMBALL PL
COLUMBUS, OH 43205-2813
Phone number: 614-353-6159
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Mailing Address
CREATIVE LIFE SUPPORT SERVICES LLC
810 KIMBALL PL
COLUMBUS, OH 43205-2813
Phone number: 614-353-6159
Copy
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