Individual
ELOUISE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 SHAW RD, FAYETTEVILLE, NC 28311-2243
(910) 978-4359
Mailing address
507 GRANTHER CT, FAYETTEVILLE, NC 28311-2601
(910) 978-4359
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-026-076
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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