Organization
CARE BY CASSIE INC
Active
Organization
CARE BY CASSIE INC
Active
Other names
Care by Clark
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA MICHELLE CLARK WHEELER (DIRECTOR/OWNER)
(816) 478-9031
Entity
Organization
Contact information
Practice address
500 E BELLEVISTA DR, INDEPENDENCE, MO 64055-1748
(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
Primary
1410-9246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858191901
—
MO
05
—
858191919
—
MO
05
—
858953102
—
MO
05
—
859720203
—
MO
Enumeration date
03/03/2010
Last updated
05/21/2015
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