Organization
CREEKSIDE, INC
Active
Other names
Creekside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS W HANSEN (CHIEF EXECUTIVE OFFICER)
(319) 277-2141
Entity
Organization
Contact information
Practice address
503 WICAL WAY, GRUNDY CENTER, IA 50638-0000
(319) 824-3212
Mailing address
5307 CARAWAY LN, CEDAR FALLS, IA 50613-8172
(319) 277-2141
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
380114H
IA
Other
Enumeration date
01/16/2018
Last updated
07/05/2023
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