Organization
AVENUE H, LLC
Active
Other names
Creekside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R POWELL (PRESIDENT)
(909) 457-2977
Entity
Organization
Contact information
Practice address
35253 AVENUE H, YUCAIPA, CA 92399-5396
(909) 795-2476
(909) 795-0458
Mailing address
35253 AVENUE H, YUCAIPA, CA 92399-5415
(909) 795-2476
(909) 795-0458
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240000224
CA
Other
Enumeration date
04/01/2015
Last updated
12/02/2022
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