44D2051176 CLIA NUMBER - CREEKSIDE AT THREE RIVERS ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 44D2051176

Facility Name: CREEKSIDE AT THREE RIVERS ASSISTED LIVING

Facility Address:
2744 ASHERS FORK DR
MURFREESBORO, TN
ZIP 37128
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Facility Phone Number: 615 895-3002

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1124327077

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	44D2051176
LAB Type	Assisted Living Facility
Facility Name	CREEKSIDE AT THREE RIVERS ASSISTED LIVING
Street	2744 ASHERS FORK DR
City	MURFREESBORO
State	TN
ZIP	37128
Phone	615 895-3002
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024