NPI 1902029325
Wyatt House
Practice location
- Address
- 707 Wyatt Ave, Golden City, MO 64748-8300
- Phone
- (417) 537-8858
- Fax
- (417) 537-4203
- Mailing address
- 707 Wyatt Ave PO Box 459, Golden City, MO 64748-8300
Authorised official
- Name
- Paul D Throckmorton
- Title
- Director
- Phone
- (417) 537-8858
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1902029325
- Entity type
- Organization
- NPI issued
- 11 Apr 2007
- Record last updated
- 22 Aug 2020
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.