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Creative Life — NPI 1114262045, Phoenix, AZ | NPI Central

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NPI 1114262045

OrganizationActive

Creative Life

NPI 1114262045 · Case Management Agency · Phoenix, AZ

Provider details

NPI number: 1114262045
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Organization subpart: No
Authorized official: Orlando Diaz, Case Manager(602) 291-5863
License: X (NV)

Specialties & taxonomies

Case Management AgencyPrimary251B00000XLicense X (NV)
Agencies

Practice location

2443 N 37th Way

Phoenix, AZ 85008-2219

Phone: (602) 291-5863

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

2443 N 37th Way

Phoenix, AZ 85008-2219

Registry dates

Enumerated: 2012-12-04
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.