Organization
CREEKSIDE INVESTMENTS
Active
Other names
Queen Retirement
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY R GREEN (ADMINISTRATOR)
(828) 456-9240
Entity
Organization
Contact information
Practice address
465 BOYD AVE, WAYNESVILLE, NC 28786-4317
(828) 456-9240
(828) 456-9012
Mailing address
465 BOYD AVE, WAYNESVILLE, NC 28786-4317
(828) 456-9240
(828) 456-9012
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-044-032
NC
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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