Organization
CROSSROADS HOSPICE OF ATLANTA LLC
Active
Parent organization
CARREFOUR ASSOCIATES, LLC
Other names
Crossroads Hospice of Atlanta, LLC, Crossroads Hospice and Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARREFOUR ASSOCIATES, LLC
Authorized official
CLAYTON LEE FARMER (CFO/COO)
(918) 627-6846
Entity
Organization
Contact information
Practice address
1957 LAKESIDE PKWY STE 500, TUCKER, GA 30084-5859
(770) 270-9898
(770) 270-9896
Mailing address
10810 E 45TH ST, SUITE 300, 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
0200515330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050414737A
—
GA
Enumeration date
06/07/2006
Last updated
11/14/2022
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