Creekside Healthcare, Llc

NPI 1104250406 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1104250406
Enumeration Date 08/23/2013
Last Updated 02/28/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN J JOHN
Position PRESIDENT
Phone (615) 612-4499
Fax (615) 612-4498
Practice Location
306 W DUE WEST AVE
MADISON TN, 37115-4511, US
Phone (615) 612-4499
Fax (615) 612-4498
Business Location
306 W DUE WEST AVE
MADISON TN, 37115-4511, US
Phone (615) 612-4499
Fax (615) 612-4498
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Creekside Healthcare, Llc NPI is 1104250406, taxonomy code is 314000000X Creekside Healthcare, Llc physically located at 306 W Due West Ave, Madison TN, 37115-4511. NPI Number 1033115704 has the healthcare provider type.

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1104250406 NPI number is provided on an as is basis without warranty of any kind. 1104250406 is maintained by the National Plan & Provider Enumeration System. The contents of Creekside Healthcare, Llc are for informational purposes only.