Organization
CREEKSIDE FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAQUET REED (OWNER/ADMINISTRATOR)
(920) 301-3907
Entity
Organization
Contact information
Practice address
1345 W MASON ST STE 202, GREEN BAY, WI 54303-2049
(920) 301-3907
(920) 391-5180
Mailing address
1345 W MASON ST STE 202, GREEN BAY, WI 54303-2049
(920) 301-3907
(920) 391-5180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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