# CREEKWOOD PLACE OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creekwood Place Nursing & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033607155
- **Authorized official:** BENT PHILIPSON (MANAGER)
- **Authorized official phone:** (516) 869-3700

## Contact information

- **Practice address:** 107 BOYLES DR, RUSSELLVILLE, KY 42276-8838
- **Practice address phone:** (270) 726-9049
- **Practice address fax:** (270) 726-8706
- **Mailing address:** 107 BOYLES DR, RUSSELLVILLE, KY 42276-8838
- **Mailing address phone:** (270) 726-9049
- **Mailing address fax:** (270) 726-8706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | KY | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 04/24/2018