# CROSSROAD LANDING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroad Landing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871700765
- **Authorized official:** DENNIS ERVIN ELLEFSON (VICE PRESIDENT)
- **Authorized official phone:** (218) 499-4030

## Contact information

- **Practice address:** 502 GLENWOOD AVE, CLOQUET, MN 55720-1208
- **Practice address phone:** (218) 499-4030
- **Practice address fax:** (952) 400-8950
- **Mailing address:** 502 GLENWOOD AVE, CLOQUET, MN 55720-1208
- **Mailing address phone:** (218) 499-4030
- **Mailing address fax:** (952) 400-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1047494-1-AFC | MN | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020