Organization
CREEKSIDE HEALTHCARE, LLC
Active
Other names
Creekside Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J SHEEHAN JR. (PRESIDENT)
(423) 618-1488
Entity
Organization
Contact information
Practice address
306 W DUE WEST AVE, MADISON, TN 37115-4511
(615) 612-4499
(615) 612-4498
Mailing address
306 W DUE WEST AVE, MADISON, TN 37115-4511
(615) 612-4499
(615) 612-4498
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
02/28/2014
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