CREATIVE LIVING CENTERS INC NPI 1659611788

NPI Information

  • NPI: 1659611788
  • Provider Name: CREATIVE LIVING CENTERS, INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Doing Business As: COVE MANOR RETIREMENT
  • Address: 521 E BEACH DR
    PANAMA CITY, FL
    ZIP 32401
  • Phone: (850) 763-3655

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NPI Details

CREATIVE LIVING CENTERS, INC is an assisted living and mental illness assisted living facility in Panama City, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CREATIVE LIVING CENTERS, INC NPI is 1659611788. The provider is registered as an organization entity type.
The provider Is Doing Business As Cove Manor Retirement.

The provider's business location address is:

521 E BEACH DR
PANAMA CITY, FL
ZIP 32401-247
Phone: (850) 763-3655
Fax: (850) 763-9048

The provider's authorized official is Verna Lamore Connor .
The authorized official title is Director and has the following contact phone number (850) 763-3655.

The enumeration date for this NPI number is 2/27/2013 and was last updated on 2/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL5888FLORIDANo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessAL5888FLORIDAYes
33104A0625XAssisted Living FacilityAssisted Living, Mental Illness140191200FLORIDANo
4311Z00000XCustodial Care FacilityAL5888FLORIDANo

What is NPI?

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This page was last updated on: 3/30/2025

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