# CREEKSIDE OPERATING COMPANY LP

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

## Provider details

- **NPI number:** 1306269386
- **Authorized official:** MRS. ANDREA SAAVEDRA (REGIONAL FINANCIAL ANALYST)
- **Authorized official phone:** (707) 208-1940

## Contact information

- **Practice address:** 1900 CHURCH LN, SAN PABLO, CA 94806-3708
- **Practice address phone:** (510) 235-5514
- **Mailing address:** 1900 CHURCH LN, SAN PABLO, CA 94806-3708
- **Mailing address phone:** (510) 235-5514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 140000547 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 10/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC05099L | — | CA |