NPI 1548614803

Creekside Manor Assisted Living, INC.

Organisation Assisted Living Facility Saltillo, MS

Practice location

Address: 200 Knight Dr, Saltillo, MS 38866-9182
Phone: (662) 869-7009
Fax: (662) 869-7891
Mailing address: PO Box 4150, Tupelo, MS 38803-4150

Authorised official

Name: Kenneth Long
Title: President
Phone: (662) 401-8930

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 751 (MS)

Other Assisted Living Facility providers in Mississippi →

Registry record

NPI: 1548614803
Entity type: Organization
NPI issued: 22 Apr 2016
Record last updated: 22 Apr 2016

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.