NPI | 1720150667 |
---|---|
Doing Business As | CREEKSIDE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | MERRI BELLE DIAS Treasurer 907-746-6493 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 151) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |