# CREEKSIDE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creekside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225546948
- **Authorized official:** MR. KRIS W HANSEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (319) 277-2141

## Contact information

- **Practice address:** 503 WICAL WAY, GRUNDY CENTER, IA 50638-0000
- **Practice address phone:** (319) 824-3212
- **Mailing address:** 5307 CARAWAY LN, CEDAR FALLS, IA 50613-8172
- **Mailing address phone:** (319) 277-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 380114H | IA | Yes |

## Other

- **Enumeration date:** 01/16/2018
- **Last updated:** 07/05/2023