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1548614803
CREEKSIDE MANOR ASSISTED LIVING, INC.
SALTILLO, MS
NPI
1548614803
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Entity Type
Organization
Authorized Contact
KENNETH LONG
President
662-401-8930
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: MS 751)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
CREEKSIDE MANOR ASSISTED LIVING, INC.
200 KNIGHT DR
SALTILLO, MS 38866-9182
Phone number: 662-869-7009
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Mailing Address
CREEKSIDE MANOR ASSISTED LIVING, INC.
PO BOX 4150
TUPELO, MS 38803-4150
Phone number: 662-322-4636
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