Organization
CREEKSIDE AT ELFINDALE
Active
Other names
Creekside at Elfindale
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D VETTER (CEO)
(402) 895-3932
Entity
Organization
Contact information
Practice address
1601 S FORT AVE, SPRINGFIELD, MO 65807-8430
(417) 831-3828
(417) 831-3899
Mailing address
20220 HARNEY ST, ELKHORN, NE 68022-2063
(402) 885-6120
(402) 895-8165
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BUS-0017337
MO
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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