| NPI | 1972023844 |
|---|---|
| Doing Business As | CREEKSIDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOE ALTIERI President 330-936-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1930N) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |