Creekwood Place Opco LLC
Organization Active NPI Skilled Nursing Facility · Russellville, KY
NPI 1033607155 · NPPES record last updated Apr 24, 2018
Key facts
- NPI
- 1033607155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CREEKWOOD PLACE OPCO LLC
- Practice address
- 107 Boyles Dr
Russellville, KY 42276-8838 - Phone
- (270) 726-9049
- Fax
- (270) 726-8706
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Bent Philipson
- Title
- Manager
- Phone
- (516) 869-3700
National Provider Directory
Locations
107 Boyles Dr
Russellville, KY 42276
Phone (270) 726-9049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | KY | Yes |
Addresses
Primary practice location
107 Boyles Dr
Russellville, KY 42276-8838
Mailing address
107 Boyles Dr
Russellville, KY 42276-8838
Phone (270) 726-9049
Other names
- Creekwood Place Nursing & Rehab Center
Other providers in Russellville, KY
- Kristen Rebecca Cooper
- Melissa D Corbin
- Rebecca Sue Coursey
- Terry A. Crafton
- Creekwood Place Nursing & Rehab Center, Inc.
- Cumberland Plastic Surgery PLLC
- Darla Sherrod Barrow
- David R. Whitley
- Erin Deans
- James Carlisle Dodson
All providers in Russellville, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.