# CREEK VIEW HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1144977968
- **Authorized official:** MRS. JENNIFER BASILIO (OFFICER)
- **Authorized official phone:** (702) 576-1313

## Contact information

- **Practice address:** 4657 E COTTON GIN LOOP STE 102A, PHOENIX, AZ 85040-8830
- **Practice address phone:** (602) 603-5161
- **Practice address fax:** (602) 612-2272
- **Mailing address:** PO BOX 95584, LAS VEGAS, NV 89193-5584
- **Mailing address phone:** (602) 603-5161
- **Mailing address fax:** (602) 612-2272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 03/02/2022