Provider Demographics
NPI:1700039773
Name:CAAREC, LLC
Entity Type:Organization
Organization Name:CAAREC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAASDAM
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:660-646-1652
Mailing Address - Street 1:326 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:MO
Mailing Address - Zip Code:64601-2503
Mailing Address - Country:US
Mailing Address - Phone:660-646-1652
Mailing Address - Fax:660-646-1652
Practice Address - Street 1:303 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-3033
Practice Address - Country:US
Practice Address - Phone:660-646-1652
Practice Address - Fax:660-646-1652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO129252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency