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General NPI Number Information
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NPI Number | 1639846231
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Entity Type | Organization
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Legal Business Name | CRAIG CARES LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 151 N SUNRISE AVE STE 1106
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City | ROSEVILLE
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State | CA
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Zip | 95661-2931
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Country | US
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Telephone | 916-224-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 151 N SUNRISE AVE STE 1106
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City | ROSEVILLE
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State | CA
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Zip | 95661-2931
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Country | US
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Telephone | 916-224-3377
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. RENADE WILLIAMSON
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Credential |
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Telephone | 650-207-6305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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