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Organization
CROSSROAD HOUSE
Active
Organization
CROSSROAD HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OPHELIA MOSLEY (SOLE OWNER)
(501) 941-1310
Entity
Organization
Contact information
Practice address
88 CYPRESS CREEK DR, CABOT, AR 72023-8196
(501) 941-1310
(501) 941-1310
Mailing address
88 CYPRESS CREEK DR, CABOT, AR 72023-8196
(501) 941-1310
(501) 941-1310
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AR
251C00000X
Developmentally Disabled Services Day Training Agency
—
AR
251J00000X
Nursing Care Agency
—
AR
305S00000X
Point of Service
—
AR
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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