Organization
SCATTERED OAKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN H. WIEMANN (ADMINISTRATOR)
(573) 265-7422
Entity
Organization
Contact information
Practice address
13045 COUNTY ROAD 2340, SAINT JAMES, MO 65559-7320
(573) 265-7422
(573) 265-8872
Mailing address
13045 COUNTY ROAD 2340, SAINT JAMES, MO 65559-7320
(573) 265-7422
(573) 265-8872
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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