institution
Wyatt House Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Golden City, Missouri
NPI 1003030727

Wyatt House Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Golden City, MO. Wyatt House Inc practices in Golden City, MO. The NPI Number for Wyatt House Inc is 1003030727 and holds a License No. 5687-9292 (Missouri).

The current practice location address for Wyatt House Inc is 707 Wyatt Ave, Golden City, MO and can be reached out via phone at 417-537-4200.

Location: 707 Wyatt Ave, Golden City, MO, 64748-8300
institution
Provider Profile Details
NPI Number
1003030727
Provider Name
Wyatt House Inc
Credential
Provider Entity Type
Organization
Address
707 Wyatt Ave, Golden City, MO, 64748-8300
Phone Number
417-537-4200
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
852932003 05 MO
institution
Provider Business Practice Location Address Details
Address
707 Wyatt Ave
City
State
Zip
64748-8300
Phone Number
417-537-4200
Fax Number
person
Provider Business Mailing Address Details
Address
707 Wyatt Ave
City
State
Zip
64748-8300
Phone Number
417-537-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
5687-9292 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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