Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creekside Manor Assisted Living, Inc

Organization Assisted Living Facility · NPI 1548614803

Creekside Manor Assisted Living, Inc is an Assisted Living Facility in Saltillo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Knight Dr
Saltillo, MS 38866-9182
Phone: (662) 869-7009
Fax: (662) 869-7891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 751 (MS)

Record details

NPI number1548614803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Long — President · (662) 401-8930
NPI enumeratedApril 22, 2016
Last updated in NPPESApril 22, 2016
Mailing addressPo Box 4150, Tupelo, MS 38803-4150

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