Trudie'S Haven

LBN: Florry Creative Care
Trudie'S Haven is an health care organization with primary practice located at 1404 Holloman Rd , Plant City FL 33567-3706. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Florry Creative Care can be contacted via phone (813) 650-8242, or through Hallback, Cherry via phone (813) 650-8242.

Contact Information

Primary practice address
1404 Holloman Rd Plant City FL 33567-3706
Phone: (813) 650-8242
Fax: (866) 240-5666
Website:
Map and Directions
Authorized official contact:
Name: Hallback, Cherry
Phone: (813) 650-8242

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X AL12847 Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X AL12847 Florida

Profile Details

NPI number 1528417391
LBN Legal business name Florry Creative Care
DBA Doing business as Trudie'S Haven
Authorized official Hallback, Cherry
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2016
Last updated Jan 9th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528417391 NPPES
Florida MEDICAID 692691696

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