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Organization

CROSSROADS HOSPICE OF NORTHEAST

Active
Parent organization
CARREFOUR ASSOCIATES, LLC
Other names
Crossroads Hospice and Palliative Care, Crossroads Hospice of Northeast Ohio, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARREFOUR ASSOCIATES, LLC
Authorized official
CLAYTON LEE FARMER (CFO/COO)
(918) 627-6846
Entity
Organization

Contact information

Practice address
3743 BOETTLER OAKS DR STE E, UNIONTOWN, OH 44685-6227
(330) 342-3328
(330) 342-3354
Mailing address
10810 E 45TH ST, SUITE 300, TULSA, OK 74146-3818
(918) 627-6846
(918) 627-6856

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
251G00000X
Community Based Hospice Care Agency
Primary
0147HSP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2653641
OH
Enumeration date
06/07/2006
Last updated
11/14/2022
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