Creekside Manor Assisted Living, Inc.
NPI #1548614803 in Saltillo, Mississippi
Provider Information
- NPI Number
- 1548614803
- Entity Type
- Organization
- Organization Name
- Creekside Manor Assisted Living, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 22, 2016
- Last Updated
- Apr 22, 2016
Practice Location
- Address
- 200 KNIGHT DR
- City
- Saltillo
- State
- Mississippi
- ZIP Code
- 38866-9182
- Phone
- (662) 869-7009
Authorized Official
- Name
- MR. KENNETH LONG
- Title
- PRESIDENT
- Phone
- (662) 401-8930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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