NPI 1063188035

Crosstree Healthcare LLC

Organisation Assisted Living Facility Kennett, MO

Practice location

Address: 612 South Byp, Kennett, MO 63857-3240
Phone: (573) 217-8669
Mailing address: 2061 Magnolia Dr, Piggott, AR 72454-3129

Authorised official

Name: Scott Cole
Title: Owner
Phone: (573) 217-8669

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1063188035
Entity type: Organization
NPI issued: 19 Aug 2021
Record last updated: 25 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.