Organization
CAUDELL SPECIALIZED CARE
Active
Other names
ICAN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKY L CAUDELL (ADMINISTRATOR)
(816) 254-4226
Entity
Organization
Contact information
Practice address
14300 E 32ND ST S, INDEPENDENCE, MO 64055-2508
(816) 254-4226
(816) 833-8638
Mailing address
14300 E 32ND ST S, INDEPENDENCE, MO 64055-2508
(816) 254-4226
(816) 833-8638
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
02/01/2008
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