Organization
CREEKSIDE REHAB OPCO, LLC
Active
Other names
Creekside Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA THACKER (AUTHORIZED OFFICIAL)
(813) 558-6608
Entity
Organization
Contact information
Practice address
5511 SWIFT RD, SARASOTA, FL 34231-6209
(941) 921-7462
Mailing address
10150 HIGHLAND MANOR DR STE 300, TAMPA, FL 33610-9712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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