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Organization

CREEK VIEW MANOR

Active
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Organization

CREEK VIEW MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHARLEEN LOUISE HAWKSLEY (OWNER/MANAGER)
(480) 888-1182
Entity
Organization

Contact information

Practice address
19977 E VIA DE ARBOLES, QUEEN CREEK, AZ 85242-5024
(480) 888-1182
(480) 888-1181
Mailing address
19977 E VIA DE ARBOLES, QUEEN CREEK, AZ 85242-5024
(480) 888-1182
(480) 888-1181

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-4954
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
923947
ARIZONA LONG TERM CARE
AZ
Enumeration date
09/28/2007
Last updated
09/28/2007
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