NPI 1033648274

Creekside at Elfindale

Organisation Assisted Living Facility Springfield, MO

Practice location

Address: 1601 S Fort Ave, Springfield, MO 65807-8430
Phone: (417) 831-3828
Fax: (417) 831-3899
Mailing address: 20220 Harney St, Elkhorn, NE 68022-2063

Authorised official

Name: Jack D Vetter
Title: Ceo
Phone: (402) 895-3932

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence BUS-0017337 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1033648274
Entity type: Organization
NPI issued: 10 Jun 2017
Record last updated: 10 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.