Organization
CROSSTREE HEALTHCARE LLC
Active
Other names
Southaven
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COLE (OWNER)
(573) 217-8669
Entity
Organization
Contact information
Practice address
612 SOUTH BYP, KENNETT, MO 63857-3240
(573) 217-8669
Mailing address
2061 MAGNOLIA DR, PIGGOTT, AR 72454-3129
(573) 217-8669
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
10/25/2021
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