Organization
CREEKSIDE OPCO LLC
Active
Other names
The Cambridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E TREFZGER JR. (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
4838 S COBB DR SE, SMYRNA, GA 30080-7121
(678) 903-0339
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
01/17/2022
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