Organization
CROSSROADS LA. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY DUNCAN (EXECUTIVE DIRECTOR)
(504) 366-1828
Entity
Organization
Contact information
Practice address
3719 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-8205
(504) 366-1828
(504) 366-1867
Mailing address
625 OLIVIER ST, NEW ORLEANS, LA 70114-1046
(504) 366-1828
(504) 366-1867
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10209
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1918571
—
LA
Enumeration date
03/07/2007
Last updated
08/22/2020
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