Organization · Type 2 NPI

Creative Community Care

Intellectual Disabilities Intermediate Care Facility · Tyler, TX

NPI number 1992844757 Active

Practice location

1611 E 5th St
Tyler, TX 75701-3432

Call (903) 595-5644 Map

Fax (903) 526-0881

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1992844757

Creative Community Care's National Provider Identifier is 1992844757, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 11, 2025.