Provider Demographics
NPI:1255912267
Name:SPRING CREEK ENTERPRISES
Entity type:Organization
Organization Name:SPRING CREEK ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMMERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-210-0323
Mailing Address - Street 1:251 LAFAYETTE CIR STE 310
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4388
Mailing Address - Country:US
Mailing Address - Phone:925-210-0323
Mailing Address - Fax:
Practice Address - Street 1:251 LAFAYETTE CIR STE 310
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4388
Practice Address - Country:US
Practice Address - Phone:925-210-0323
Practice Address - Fax:925-405-3841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care