Creekside Opco LLC

NPI #1669132304 in Smyrna, Georgia

Provider Information

NPI Number
1669132304
Entity Type
Organization
Organization Name
Creekside Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 21, 2021
Last Updated
Jan 17, 2022

Practice Location

Address
4838 S COBB DR SE
City
Smyrna
State
Georgia
ZIP Code
30080-7121
Phone
(678) 903-0339

Authorized Official

Name
MR. CHARLES E TREFZGER JR.
Title
MANAGER
Phone
(828) 322-5535

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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