Organization
CROSS RESOURCE & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETA CROSS (OWNER)
(317) 762-7874
Entity
Organization
Contact information
Practice address
4716 ROUND LAKE RD APT H, INDIANAPOLIS, IN 46205-2386
(317) 496-4730
Mailing address
5868 E 71ST ST, SUITE E , #327, INDIANAPOLIS, IN 46220
(317) 496-4730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104365865
—
IN
Enumeration date
01/27/2019
Last updated
01/27/2019
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