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General NPI Number Information
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NPI Number | 1679082887
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Entity Type | Organization
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Legal Business Name | CROSSLAND CARE INC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1901 E 37TH ST. SUITE 205
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City | ODESSA
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State | TX
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Zip | 79762
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Country | US
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Telephone | 432-339-5555
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Fax | 432-333-2020
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Provider Business Mailing Address
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Address Line | 1901 E 37TH ST. SUITE 205
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City | ODESSA
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State | TX
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Zip | 79762
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Country | US
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Telephone | 432-339-5555
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Fax | 432-333-2020
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA A LEVARIO
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Credential |
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Telephone | 432-339-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 046994
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License Number State | TX
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