Provider Demographics
NPI:1083424485
Name:FAMILY RESOURCE CENTER OF CASS COUNTY
Entity type:Organization
Organization Name:FAMILY RESOURCE CENTER OF CASS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-694-3227
Mailing Address - Street 1:PO BOX 604
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-0604
Mailing Address - Country:US
Mailing Address - Phone:816-425-4169
Mailing Address - Fax:
Practice Address - Street 1:6909 E 163RD ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-4612
Practice Address - Country:US
Practice Address - Phone:816-425-4169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center