Organization
HILLS CREEK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KISSOON (ADMINISTRATOR)
(772) 201-7655
Entity
Organization
Contact information
Practice address
308 S 30TH ST, FORT PIERCE, FL 34947-7205
(772) 595-5565
(772) 595-6505
Mailing address
308 S 30TH ST, FORT PIERCE, FL 34947-7205
(772) 595-5565
(772) 595-6505
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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