Organization
WYATT'S DREAM CENTER, LLC
Active
Organization
WYATT'S DREAM CENTER, LLC
Active
Other names
Wyatt's Dream Center, LLC, WYATT'S DREAM CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A STEWART (OWNER/ADMINISTRATOR)
(573) 380-8035
Entity
Organization
Contact information
Practice address
205 STATE HIGHWAY AA, SIKESTON, MO 63801-5303
(573) 475-8025
(573) 475-8026
Mailing address
106 DACUS DR, SIKESTON, MO 63801-9013
(573) 380-8035
(573) 475-8026
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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