Healthcare Provider Details

I. General information

NPI: 1477016335
Provider Name (Legal Business Name): THE CRAG BUSINESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2019
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 ESSEX CT
MONTROSE CO
81401-5577
US

IV. Provider business mailing address

2262 ESSEX CT
MONTROSE CO
81401-5577
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-2724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DONNA FLOYD
Title or Position: PRINCIPAL
Credential:
Phone: 888-428-2724