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Organization

CROSSROADS HOSPICE OF TENNESSEE

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

Provider details

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

Contact information

Practice address
1669 SHELBY OAKS DR N STE 106, MEMPHIS, TN 38134-7441
(901) 382-9292
(901) 384-7914
Mailing address
10810 E 45TH ST, SUITE 300, TULSA, OK 74146-3818
(918) 627-6846
(918) 627-6846

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
251G00000X
Community Based Hospice Care Agency
Primary
0200515330 RL
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121052
TN
05
14794
TN
05
3095496
TN
05
8805
TN
Enumeration date
06/19/2006
Last updated
11/14/2022
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