Organization
CROSSROADS HOME CARE SERVICES, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (PRESIDENT)
(373) 233-1307
Entity
Organization
Contact information
Practice address
4112 N WATER TOWER PL STE A, MOUNT VERNON, IL 62864-6295
(618) 988-1840
(618) 988-8623
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1008390
IL
251E00000X
Home Health Agency
Primary
1011103
MO
Other
Enumeration date
01/12/2006
Last updated
07/08/2024
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