NPI 1356117717
Clear Creek Living, LLC
Practice location
- Address
- 287 Washington Street, Brewer, ME 04412
- Phone
- (207) 814-9500
- Fax
- (207) 825-2894
- Mailing address
- 1836 W Virginia St STE 102a, McKinney, TX 75069-7714
Authorised official
- Name
- Ryan Zeestraten
- Title
- Owner/Ceo
- Phone
- (469) 625-0705
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1356117717
- Entity type
- Organization
- NPI issued
- 28 Nov 2023
- Record last updated
- 28 Nov 2023
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.