NPI 1114504941

Creative Potential LLC

Organisation Personal Care Attendant Uncasville, CT

Practice location

Address: 912 Norwich New London Tpke STE 5, Uncasville, CT 06382-1908
Phone: (860) 848-0514
Fax: (860) 848-0523
Mailing address: 915 Norwich New London Tpke Unit 5, Uncasville, CT 06382-1600

Authorised official

Name: Sierra R Davis
Title: Owner
Phone: (860) 848-0514

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1114504941
Entity type: Organization
NPI issued: 26 Mar 2021
Record last updated: 4 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.