# WHITES CREEK OPERATING GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114580248
- **Authorized official:** ANSHEL NIEDERMAN (MANAGER)
- **Authorized official phone:** (629) 900-2005

## Contact information

- **Practice address:** 3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
- **Practice address phone:** (615) 876-2754
- **Mailing address:** 544 PARK AVE STE B04, BROOKLYN, NY 11205-1670
- **Mailing address phone:** (917) 682-3129

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2019
- **Last updated:** 04/15/2019