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Organization
EMPLOY DIRECT GROUP
Active
Organization
EMPLOY DIRECT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA JOHNSON JOHNSON (CHIEF ADMINISTRATION OFFICER)
(816) 207-9244
Entity
Organization
Contact information
Practice address
124 CUNNINGHAM PKWY, BELTON, MO 64012-2163
(816) 382-1050
(816) 382-1050
Mailing address
124 CUNNINGHAM PKWY, BELTON, MO 64012-2163
(816) 382-1050
(816) 382-1050
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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