NPI | 1932685583 |
---|---|
Doing Business As | CREEKSIDE TRANSITIONAL CARE AND REHABILITATION |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2018-07-17 |
Last Update Date | 2022-09-14 |