Organization
CRAIG RESOURCES LLC
Active
Other names
Craig HomeCare, Pediatric Home Service
Organization subpart
No
Provider details
NPI number
Authorized official
LEOLA CHRISTINE MCCALLUM (REVENUE CYCLE MANAGER)
(316) 266-8717
Entity
Organization
Contact information
Practice address
727 N WACO AVE STE 185, WICHITA, KS 67203-3910
(316) 264-9988
(316) 264-0016
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
A-087-046
KS
251J00000X
Nursing Care Agency
—
—
385H00000X
Respite Care
Primary
A-087-046
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007090B
—
KS
05
—
100007090I
—
KS
05
—
30003931500012
—
KS
Enumeration date
08/29/2014
Last updated
03/17/2025
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