# CROSSROADS AT CATAWBA, LLC

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

## Provider details

- **NPI number:** 1891193413
- **Authorized official:** JAMES EDWARDS (MEMBER)
- **Authorized official phone:** (765) 714-5439

## Contact information

- **Practice address:** 400 ROWELLS RD, CATAWBA, SC 29704-8769
- **Practice address phone:** (803) 329-3377
- **Practice address fax:** (803) 329-0933
- **Mailing address:** PO BOX 65, CATAWBA, SC 29704-0065
- **Mailing address phone:** (803) 329-3377
- **Mailing address fax:** (803) 329-0933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC-0743 | SC | Yes |

## Other

- **Enumeration date:** 12/13/2014
- **Last updated:** 12/13/2014
