Provider Demographics
NPI:1982840252
Name:CROSSROASDS ASSOCIATES,LLP
Entity Type:Organization
Organization Name:CROSSROASDS ASSOCIATES,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:LOWERY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-521-8903
Mailing Address - Street 1:306-A NORMAL ST
Mailing Address - Street 2:PO BOX 1148
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-1148
Mailing Address - Country:US
Mailing Address - Phone:910-521-8903
Mailing Address - Fax:910-521-2141
Practice Address - Street 1:306-A NORMAL ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-1148
Practice Address - Country:US
Practice Address - Phone:910-521-8903
Practice Address - Fax:910-521-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health