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General NPI Number Information
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NPI Number | 1184043770
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Entity Type | Organization
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Legal Business Name | CROSSROADS ADULT DAYCARE CENTER, INC
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1011 HOMELAND AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7003
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Country | US
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Telephone | 336-333-0059
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Fax | 336-273-0456
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Provider Business Mailing Address
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Address Line | 1011 HOMELAND AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7003
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Country | US
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Telephone | 336-333-0059
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Fax | 336-273-0456
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIM B HAYES
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Credential |
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Telephone | 336-333-0059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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