Organization
CROSSROADS LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JANE DUTRA (BOOKKEEPER)
(530) 532-7889
Entity
Organization
Contact information
Practice address
325 HONEYSUCKLE DR, FAIRFIELD, CA 94533-1124
(707) 449-9377
Mailing address
320 CERNON ST, VACAVILLE, CA 95688-4502
(707) 449-9377
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
02/15/2008
Last updated
02/19/2008
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