Organization
CREEKWAY HEALTHCARE LLC
Active
Organization
CREEKWAY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED FONACIER III (OWNER)
(702) 527-9452
Entity
Organization
Contact information
Practice address
6276 SPRING MOUNTAIN RD STE 100, LAS VEGAS, NV 89146-8869
(725) 206-5572
Mailing address
6276 SPRING MOUNTAIN RD STE 100, LAS VEGAS, NV 89146-8869
(725) 206-5572
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
08/03/2023
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