Provider Demographics
NPI:1679887004
Name:CREEKVIEW ADULT HEALTH AND ACTIVITY CENTER INC.
Entity type:Organization
Organization Name:CREEKVIEW ADULT HEALTH AND ACTIVITY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBASUYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-271-8000
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 630J
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2185
Mailing Address - Country:US
Mailing Address - Phone:469-693-9380
Mailing Address - Fax:832-915-2837
Practice Address - Street 1:7322 SOUTHWEST FWY STE 630J
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2185
Practice Address - Country:US
Practice Address - Phone:469-693-9380
Practice Address - Fax:832-915-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care