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Organization
CROSSROADS CARING HOME
Active
Organization
CROSSROADS CARING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON HAMMACK (PRESIDENT)
(850) 768-9672
Entity
Organization
Contact information
Practice address
2563 RIVER ROAD, CARYVILLE, FL 32427
(850) 535-4267
Mailing address
2563 RIVER RD, CARYVILLE, FL 32427-2013
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL12630
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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