Organization
INTERFAITH COMMUNITY SERVICES, INC.
Active
Other names
InterServ CDS, InterServ
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET SUPPLE (EXECUTIVE DIRECTOR)
(816) 238-4511
Entity
Organization
Contact information
Practice address
5400 KING HILL AVE, SAINT JOSEPH, MO 64504-1503
(816) 238-4511
(816) 232-7029
Mailing address
5400 KING HILL AVE, SAINT JOSEPH, MO 64504-1503
(816) 238-4511
(816) 232-7029
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261711105
—
MO
Enumeration date
11/15/2006
Last updated
01/12/2024
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