Organization
CRAIG RESOURCES, INC.
Active
Other names
Craig HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN BALKE (PRESIDENT & COO)
(162) 668-7223
Entity
Organization
Contact information
Practice address
5661 TELEGRAPH RD STE 5B, SAINT LOUIS, MO 63129-4275
(314) 843-0316
(316) 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
—
—
251J00000X
Nursing Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009412
S SBG/GR
MO
01
—
265429902
MEDICAID PERSONAL CARE
MO
05
—
945429900
—
MO
Enumeration date
05/01/2015
Last updated
09/26/2022
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