Creekside Manor
Creekside Manor is an Exclusive Provider Organization in Big Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
17460 12 Mile RdBig Rapids, MI 49307-9554
Phone: (231) 796-6131
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence AM540070004 (MI) |
|---|
Record details
| NPI number | 1073051264 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Chaffee — Owner · (231) 796-6131 |
| NPI enumerated | February 7, 2017 |
| Last updated in NPPES | February 7, 2017 |
| Mailing address | 17460 12 Mile Rd, Big Rapids, MI 49307-9554 |