Provider First Line Business Practice Location Address:
4721 S CLIFF AVE
Provider Second Line Business Practice Location Address:
FAMILY CARE OF INDEPENDENCE SUITE 200
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64055-7016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-503-3700
Provider Business Practice Location Address Fax Number:
816-503-3704
Provider Enumeration Date:
04/26/2006