Organization
CAUDELL SPECIALIZED CARE INC
Active
Organization
CAUDELL SPECIALIZED CARE INC
Active
Other names
ICAN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKY LEE CAUDELL (ADMINISTRATOR)
(816) 254-4226
Entity
Organization
Contact information
Practice address
14300 E 32ND ST S, INDEPENDENCE, MO 64055-2508
(816) 254-4226
Mailing address
14300 E 32ND ST S, INDEPENDENCE, MO 64055-2508
(816) 254-4226
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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