Provider Demographics
NPI:1497941017
Name:STACY ELIZABETH CASLER
Entity Type:Organization
Organization Name:STACY ELIZABETH CASLER
Other - Org Name:STACY'S RESIDENTIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASLER
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:816-305-7766
Mailing Address - Street 1:3512 SE ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014
Mailing Address - Country:US
Mailing Address - Phone:816-305-7766
Mailing Address - Fax:816-224-3742
Practice Address - Street 1:3512 SE ADAMS DR
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-5458
Practice Address - Country:US
Practice Address - Phone:816-305-7766
Practice Address - Fax:816-224-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services