Organization
CROSSROADS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BALL (PRESIDENT)
(601) 320-2520
Entity
Organization
Contact information
Practice address
519 S CHURCH ST, BROOKHAVEN, MS 39601-3807
(601) 320-2520
Mailing address
PO BOX 3561, BROOKHAVEN, MS 39603-7561
(601) 320-2520
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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