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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
3514 S COTTAGE AVE, INDEPENDENCE, MO 64055-3133
(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

Enumeration date
09/17/2009
Last updated
05/21/2015
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