Organization
CREEKWOOD PLACE OPCO LLC
Active
Other names
Creekwood Place Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
107 BOYLES DR, RUSSELLVILLE, KY 42276-8838
(270) 726-9049
(270) 726-8706
Mailing address
107 BOYLES DR, RUSSELLVILLE, KY 42276-8838
(270) 726-9049
(270) 726-8706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
KY
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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