Provider Demographics
NPI:1316726599
Name:CREATIVE KIDS CHILD CARE CENTER
Entity type:Organization
Organization Name:CREATIVE KIDS CHILD CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-370-3763
Mailing Address - Street 1:2350 FUJI ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2832
Mailing Address - Country:US
Mailing Address - Phone:614-370-3763
Mailing Address - Fax:
Practice Address - Street 1:2350 FUJI ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2832
Practice Address - Country:US
Practice Address - Phone:614-370-3763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child