| NPI | 1104250406 |
|---|---|
| Doing Business As | CREEKSIDE HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN J SHEEHAN President 423-618-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2014-02-28 |