Organization Name: | CROSSROADS HOSPICE OF TENNESSEE |
NPI Number: | 1316982739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAYTON LEE FARMER (SECRETARY) |
Mailing Address: | 1669 N Shelby Oaks Dr Memphis |
State: | TN US |
Postal Code: | 381347441 |
Phone Number: | 9013829292 |
Fax Number: | 9013847914 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0200515330 RL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |