Whalio Doctors

NPI 1548053754

Creekside Care LLC

Organisation Assisted Living Facility Jerome, ID

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
Nursing & Custodial Care Facilities Taxonomy 310400000X

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.