1548614803 NPI number — CREEKSIDE MANOR ASSISTED LIVING, INC.

Table of content: (NPI 1548614803)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548614803 NPI number — CREEKSIDE MANOR ASSISTED LIVING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CREEKSIDE MANOR ASSISTED LIVING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548614803
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUPELO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38803-4150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-322-4636
Provider Business Mailing Address Fax Number:
662-840-3311

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 KNIGHT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALTILLO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38866-9182
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-869-7009
Provider Business Practice Location Address Fax Number:
662-869-7891
Provider Enumeration Date:
04/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
LONG
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
662-401-8930

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  751 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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