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Contact Information

KREEATIVE DEVELOPMENTAL DISABILITY SERVICES
111 CHICKASAW PL
JACKSONVILLE, AR72076-1905
 Phone: 501-472-8352
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for KREEATIVE DEVELOPMENTAL DISABILITY SERVICES

NPI Number 1962243915
LBN Legal business name KREEATIVE DEVELOPMENTAL DISABILITY SERVICES
Authorized official RANIESHA PARKER - (CEO, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2024
Last updated 06/04/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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