Organization
CROSSROADS HOSPICE OF DAYTON LLC
Active
Parent organization
CARREFOUR ASSOCIATES, LLC
Other names
Crossroads Hospice and Palliative Care, Crossroads Hospice of Dayton, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARREFOUR ASSOCIATES, LLC
Authorized official
MR. CLAYTON FARMER (CFO/COO)
(918) 627-6846
Entity
Organization
Contact information
Practice address
8069 WASHINGTON VILLAGE DR, DAYTON, OH 45458-1847
(937) 312-3170
(937) 439-5903
Mailing address
10810 E 45TH ST STE 300, TULSA, OK 74146-3816
(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
0168HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133120
—
OH
Enumeration date
02/19/2008
Last updated
11/14/2022
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