- Facility Name
- PROVIDENT GROUP - CREEKSIDE PROPERTIES LLC
- Type / Classification
- Assisted Living Facility
- Address
- 4838 SOUTH COBB DRIVE, SMYRNA, GA 30080
- Phone Number
- (678) 710-1834
- NPI Number
- 1891287645
- Authorized Official
- DEBRA LOCKWOOD (President & Chief Financial Officer)
- Enumeration Date
- 2018-06-06