# CREEKSIDE INVESTMENTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Queen Retirement
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891017489
- **Authorized official:** KATHY R GREEN (ADMINISTRATOR)
- **Authorized official phone:** (828) 456-9240

## Contact information

- **Practice address:** 465 BOYD AVE, WAYNESVILLE, NC 28786-4317
- **Practice address phone:** (828) 456-9240
- **Practice address fax:** (828) 456-9012
- **Mailing address:** 465 BOYD AVE, WAYNESVILLE, NC 28786-4317
- **Mailing address phone:** (828) 456-9240
- **Mailing address fax:** (828) 456-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | HAL-044-032 | NC | Yes |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 02/23/2010