NPI 1427693092

Wyatt's Dream Center, LLC

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

Practice location

Address: 205 State Highway Aa, Sikeston, MO 63801-5303
Phone: (573) 475-8025
Fax: (573) 475-8026
Mailing address: 106 Dacus Dr, Sikeston, MO 63801-9013

Authorised official

Name: Melissa a Stewart
Title: Owner/Administrator
Phone: (573) 380-8035

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1427693092
Entity type: Organization
NPI issued: 7 Nov 2019
Record last updated: 7 Nov 2019

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.