Organization
SPRING CREEK OF IHS, INC.
Active
Other names
Spring Creek Nursing & Rehab Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE M. DUAY III CPA (CFO)
(305) 892-1790
Entity
Organization
Contact information
Practice address
5440 CHARLESGATE RD, HUBER HEIGHTS, OH 45424-1049
(305) 892-1790
(305) 538-2699
Mailing address
1680 MICHIGAN AVE, SUITE 736, MIAMI BEACH, FL 33139-2538
(305) 892-1790
(305) 538-2699
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1795N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560101
—
OH
Enumeration date
05/11/2007
Last updated
08/22/2020
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