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Organization

CROSSROADS HOSPICE OF ST LOUIS, LLC

Active
Parent organization
CARREFOUR ASSOCIATES, LLC
Other names
Crossroads Hospice of St. Louis, LLC, Crossroads Hospice and Palliative Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARREFOUR ASSOCIATES, LLC
Authorized official
MR. CLAYTON LEE FARMER (CFO/COO)
(918) 627-6846
Entity
Organization

Contact information

Practice address
15450 S OUTER 40 RD STE 100, CHESTERFIELD, MO 63017-2062
(314) 801-6960
(314) 801-6999
Mailing address
10810 E 45TH ST, SUITE300, TULSA, OK 74146-3818
(918) 627-6846
(918) 627-6856

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
829685403
MO
Enumeration date
03/04/2009
Last updated
11/14/2022
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