| NPI | 1477985893 |
|---|---|
| Doing Business As | CREEKSIDE VILLAS |
| Entity Type | Organization |
| Authorized Contact | JACI REYNOLDS Business Manager 828-456-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-044-044) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |