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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT GROUP - CREEKSIDE PROPERTIES LLC

Active Organization

PROVIDENT GROUP - CREEKSIDE PROPERTIES LLC is a Assisted Living Facility organization located in SMYRNA, Georgia. NPI 1891287645 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · SMYRNA, GA

Registration Details

NPI Number
1891287645
Provider Type
Organization
NPI Issued
Jun 6, 2018 (8.2161771953348 yrs)
Last Updated
Jun 6, 2018

Practice Information

Address
4838 SOUTH COBB DRIVE
SMYRNA, GA, 30080
Browse GA providers · Browse ZIP 30080
Phone
6787101834
Fax
6782360374
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Respite Care
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Organizations in SMYRNA, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.