Organization
CRAIG RESOURCES LLC
Active
Other names
Pediatric Home Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOYCE A BULMAN (VP OF QUALITY AND COMPLIANCE)
(651) 789-0926
Entity
Organization
Contact information
Practice address
5661 TELEGRAPH RD STE 5B, SAINT LOUIS, MO 63129-4275
(314) 843-0316
(314) 843-0317
Mailing address
1220 E 1ST ST N, WICHITA, KS 67214-3907
(316) 266-8717
(316) 266-8757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0009412
MO
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009412
MISSOURI SSBG/GR PROVIDER
MO
05
—
945429900
—
MO
Enumeration date
03/31/2008
Last updated
03/13/2025
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