Provider Demographics
NPI:1912410572
Name:KREATIVE KARE DAY CARE CENTER, INC.
Entity type:Organization
Organization Name:KREATIVE KARE DAY CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-386-3242
Mailing Address - Street 1:292 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-5902
Mailing Address - Country:US
Mailing Address - Phone:718-386-3242
Mailing Address - Fax:718-386-4444
Practice Address - Street 1:292 PALMETTO ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-5902
Practice Address - Country:US
Practice Address - Phone:718-386-3242
Practice Address - Fax:718-386-4444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency