Organization
CROSSROADS LIVING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SCHUDER (PRESIDENT)
(530) 632-3043
Entity
Organization
Contact information
Practice address
1250 WOODMAN WAY, DIXON, CA 95620-2142
(707) 678-1802
Mailing address
320 CERNON ST, VACAVILLE, CA 95688-4502
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
09/05/2007
Last updated
02/20/2008
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