Provider Demographics
NPI:1174800932
Name:MIDWEST FOSTER CARE AND ADOPTION ASSOCIATION
Entity type:Organization
Organization Name:MIDWEST FOSTER CARE AND ADOPTION ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-508-0251
Mailing Address - Street 1:3201 S LEES SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-1974
Mailing Address - Country:US
Mailing Address - Phone:816-350-0215
Mailing Address - Fax:816-350-0085
Practice Address - Street 1:3201 S LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1974
Practice Address - Country:US
Practice Address - Phone:816-350-0215
Practice Address - Fax:816-350-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001669716253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency