Organization
CROSSROADS RETIREMENT HOME
Active
Other names
The Crossroads
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLINE CEPOUDI (DIRECTOR)
(954) 367-4597
Entity
Organization
Contact information
Practice address
206 W ORANGE ST, DAVENPORT, FL 33837-3118
(863) 422-4961
(863) 422-1707
Mailing address
4700 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3420
(954) 367-4597
(954) 367-4564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
11/10/2010
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