OrganizationActive
Creations-Unlimited
NPI 1124431788 · Early Intervention Provider Agency · Lake City, SC
Provider details
- NPI number
- 1124431788
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerry Rose, Owner/Ceo(804) 519-8009
Specialties & taxonomies
Agencies
Practice location
318 Moore St
Lake City, SC 29560-2551
Phone: (804) 519-8009
Fax: (804) 525-5444
Approximate (ZIP-level) locationGet directions
Mailing address
6453 Goldenrod Ct
Henrico, VA 23231-5330
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.