Organization
CREEKSIDE CORPORATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE FATOKI (ADMINISTRATOR)
(240) 472-5758
Entity
Organization
Contact information
Practice address
9332 ANNAPOLIS RD STE 216, LANHAM, MD 20706-3142
(240) 472-5758
Mailing address
9332 ANNAPOLIS RD STE 216, LANHAM, MD 20706-3142
(240) 472-5758
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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