Organization
CROSSROADS SLEEP DISORDERS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA CROWE (OFFICE MANAGER)
(330) 965-0220
Entity
Organization
Contact information
Practice address
721 BOARDMAN POLAND RD, SUITE 204, BOARDMAN, OH 44512-5107
(330) 965-0220
(330) 965-9622
Mailing address
721 BOARDMAN-POLAND RD, SUITE 204, BOARDMAN, OH 44512
(330) 965-0220
(330) 965-9622
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
35-084112
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2488151
—
OH
Enumeration date
08/21/2007
Last updated
07/05/2013
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