NPI 1548053754
Creekside Care LLC
Practice location
- Address
- 222 6th Ave W, Jerome, ID 83338-1834
- Phone
- (208) 373-1424
- Mailing address
- 4423 N 1600 E, Buhl, ID 83316-5326
Authorised official
- Name
- Ryan David Bowden
- Title
- Managing Member
- Phone
- (801) 319-0071
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1548053754
- Entity type
- Organization
- NPI issued
- 28 May 2025
- Record last updated
- 28 May 2025
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.