Kreeative Developmental Disability Services

LBN: Kreeative Developmental Disability Services
Kreeative Developmental Disability Services is an health care organization with primary practice located at 111 Chickasaw Pl , Jacksonville AR 72076-1905. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / In Home Supportive Care is the primary health care specialty. Kreeative Developmental Disability Services can be contacted via phone (501) 472-8352, or through Parker, Raniesha via phone (501) 472-8352.

Contact Information

Primary practice address
111 Chickasaw Pl Jacksonville AR 72076-1905
Phone: (501) 472-8352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parker, Raniesha
Phone: (501) 472-8352

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1962243915
LBN Legal business name Kreeative Developmental Disability Services
DBA Doing business as
Authorized official Parker, Raniesha
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2024
Last updated Jun 4th, 2024 - about 2 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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