Whalio Doctors

NPI 1013274059

Melissa a Stewart

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sikeston, MO

Practice location

Address
106 Dacus Drive, Sikeston, MO 63801-3801
Phone
(573) 471-4219

Authorised official

Name
Melissa a Stewart
Title
Owner/Administrator
Phone
(573) 471-4219

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1013274059
Entity type
Organization
NPI issued
16 Apr 2012
Record last updated
1 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.