Individual provider · NPI-1
Precious Craddieth
Home Health Aide · Columbus, MS
NPI number1033837018
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1033837018
- Entity type
- Individual (NPI-1)
- Name
- Precious Craddieth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | MS | Yes |
Practice location
818 Crowe RdColumbus, MS 39702-9431
Phone 662-889-8006
Mailing address
818 Crowe RdColumbus, MS 39702-9431
Phone 662-848-9937
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