| NPI | 1215605886 |
|---|---|
| Doing Business As | CREEKSIDE GARDENS ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | ELY BLOCH Legal Assistant 718-942-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |