Organization Name: | CREATIVE HEALTH CARE SERVICES, INC. |
NPI Number: | 1417001090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARIK SHIRIF (PRESIDENT) |
Mailing Address: | 1840 E University Dr Suite 2 Mesa |
State: | AZ US |
Postal Code: | 852038237 |
Phone Number: | 4802463500 |
Fax Number: | 4802463510 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 09/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |