NPI | 1225546948 |
---|---|
Doing Business As | CREEKSIDE |
Entity Type | Organization |
Authorized Contact | KRIS W HANSEN Chief Executive Officer 319-277-2141 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 380114H) |
Enumeration Date | 2018-01-16 |
Last Update Date | 2023-07-05 |