Organization
CROSSROADS LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY DUNCAN (EXECUTIVE DIRECTOR)
(504) 366-1828
Entity
Organization
Contact information
Practice address
1622 TOLEDANO ST, NEW ORLEANS, LA 70115-4526
(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
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1718289
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718289
—
LA
Enumeration date
03/30/2007
Last updated
08/22/2020
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