| Organization Name: | CREEKVIEW ADULT HEALTH AND ACTIVITY CENTER INC. |
| NPI Number: | 1679887004 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICTORIA OBASUYI (ADMINISTRATOR) |
| Mailing Address: | 3342 Broadway Blvd Suite 124 Garland |
| State: | TX US |
| Postal Code: | 750431531 |
| Phone Number: | 9722718000 |
| Fax Number: | 9722716000 |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |