# CROSSROADS SENIOR CARE AT HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437616802
- **Authorized official:** NICOLE SMITH (ADMINISTRATOR)
- **Authorized official phone:** (479) 498-6342

## Contact information

- **Practice address:** 701 E MAIN ST STE 10, RUSSELLVILLE, AR 72801-5209
- **Practice address phone:** (479) 498-6342
- **Mailing address:** PO BOX 11563, RUSSELLVILLE, AR 72812-1563
- **Mailing address phone:** (479) 498-6342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2019
- **Last updated:** 02/21/2019