| NPI | 1952016214 |
|---|---|
| Doing Business As | CREEKSIDE HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | TRICIA THACKER Authorized Official 813-558-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |