Crossroads Isl, LLC

NPI #1427102482 in Sikeston, Missouri

Provider Information

NPI Number
1427102482
Entity Type
Organization
Organization Name
Crossroads Isl, LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jan 23, 2007
Last Updated
Sep 14, 2009

Practice Location

Address
240 N KINGSHIGHWAY ST
ZIP Code
63801-4102
Phone
(573) 472-9696

Authorized Official

Name
MR. EDWARD MILLER
Title
DIRECTOR
Phone
(573) 472-9696

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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Provider Name
State of Missouri

Part of State of Missouri

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