OrganizationActive
Creekside Manor Assisted Living, Inc.
NPI 1548614803 · Assisted Living Facility · Saltillo, MS
Provider details
- NPI number
- 1548614803
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Long, President(662) 401-8930
- License
- 751 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
200 Knight Dr
Saltillo, MS 38866-9182
Phone: (662) 869-7009
Fax: (662) 869-7891
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4150
Tupelo, MS 38803-4150
Registry dates
- Enumerated
- 2016-04-22
- Last updated
- 2016-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.