Organization
MISSOURI QUALITY CARE
Active
Other names
Crossroads Country Home
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF TYLER THORNTON (ADMINISTRATOR)
(816) 632-3773
Entity
Organization
Contact information
Practice address
215 S WALNUT ST, CAMERON, MO 64429-2265
(816) 632-3773
(816) 632-3335
Mailing address
215 S WALNUT ST, CAMERON, MO 64429-2265
(816) 632-3773
(816) 632-3335
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1576-9788
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
857883508
—
MO
Enumeration date
03/27/2007
Last updated
03/07/2024
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