Organization · Type 2 NPI
Pulaski Country Group Home
Respite Care · Crocker, MO
NPI number
1790806545
Active
Practice location
307 Keeth Road
Crocker, MO 65452
Fax (573) 736-2771
Mailing address
PO Box 662
Crocker, MO 65452-0662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Respite Care Primary | 385H00000X | None listed |
Respite Care: Definition to come.
Another provider at this address
About NPI 1790806545
Pulaski Country Group Home's National Provider Identifier is 1790806545, issued on Apr 2, 2007. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Crocker, MO. The record was last updated on Sep 11, 2025.