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General NPI Number Information
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NPI Number | 1053451179
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Entity Type | Organization
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Legal Business Name | THE CROSS ROAD REST AND RETIREMENT CENTER, INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1302 OLD COX RD
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City | ASHEBORO
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State | NC
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Zip | 27205-9466
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Country | US
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Telephone | 336-629-7811
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Fax | 336-629-6264
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Provider Business Mailing Address
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Address Line | 1302 OLD COX RD
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City | ASHEBORO
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State | NC
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Zip | 27205-9466
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Country | US
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Telephone | 336-629-7811
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Fax | 336-629-6264
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Authorized Official
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Title or Position | ADMINISTRATOR EXECUTIVE DIRECTOR
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Name | MR. STEPHEN LEE RUMBLEY
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Credential |
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Telephone | 336-629-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | HAL-076-003
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | HAL-076-003
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | REGISTRATION
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License Number State | NC
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