Organization
CROSSROADS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC ANTHONY HINES (CHIEF EXECUTIVE OFFICER)
(563) 263-3545
Entity
Organization
Contact information
Practice address
1424 HOUSER ST, MUSCATINE, IA 52761-2235
(563) 263-3545
Mailing address
1424 HOUSER ST, MUSCATINE, IA 52761-2235
(563) 263-3545
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
UNKNOWN
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117184
—
IA
Enumeration date
02/23/2007
Last updated
03/16/2024
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