Organization
CARE BY CASSIE
Active
Other names
Care By Clark
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA MICHELLE CLARK WHEELER (DIRECTOR/OWNER)
(816) 847-0931
Entity
Organization
Contact information
Practice address
3816 S UNION ST, INDEPENDENCE, MO 64055-3150
(816) 478-9031
(816) 350-3406
Mailing address
4230 S PHELPS RD, INDEPENDENCE, MO 64055-5067
(816) 478-9031
(816) 350-3406
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1410-9246
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
14109246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858191901
—
MO
05
—
858953102
—
MO
05
—
859720203
—
MO
Enumeration date
10/24/2007
Last updated
05/21/2015
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