Organization
WYATT'S WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LYNN KEELY (OWNER)
(319) 471-7584
Entity
Organization
Contact information
Practice address
1275 EMORY PL APT 113, NORTH LIBERTY, IA 52317-9846
(319) 471-7584
Mailing address
1275 EMORY PL APT 113, NORTH LIBERTY, IA 52317-9846
(319) 471-7584
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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