| Organization Name: | CREEKSIDE HOSPICE II, LLC |
| NPI Number: | 1841518396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE THOMAS (PRESIDENT) |
| Mailing Address: | 3675 Pecos Mcleod Ste 900 Las Vegas |
| State: | NV US |
| Postal Code: | 891213899 |
| Phone Number: | 7026507669 |
| Fax Number: | 7026507670 |
| NPI Enumeration Date: | 05/07/2010 |
| NPI Last Update Date: | 02/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 7350HPC-3 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |