CROSSROADS HOSPICE OF NORTHEAST NPI 1205876653

NPI Information

CROSSROADS HOSPICE OF NORTHEAST is a hospice care community based in Uniontown, OH. CROSSROADS HOSPICE OF NORTHEAST NPI is 1205876653. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Hospice Of Northeast Ohio, Llc.

The provider's business location address is:

3743 BOETTLER OAKS DR
SUITE E
UNIONTOWN, OH
ZIP 44685-227
Phone: (330) 342-3328
Fax: (330) 342-3354

The provider's authorized official is Clayton Lee Farmer .
The authorized official title is Secretary and has the following contact phone number (918) 627-6846.

The CLIA number assigned to this NPI record is 36D1040747 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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