person
Mrs. Melissa A Stewart
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sikeston, Missouri
NPI 1417214610

Melissa A Stewart is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sikeston, MO. Melissa A Stewart practices in Sikeston, MO. The NPI Number for Melissa A Stewart is 1417214610 and holds a License No. EC2-0290-1011 (Missouri).

The current practice location address for Melissa A Stewart is 106 Dacus Dr, Sikeston, MO and can be reached out via phone at 573-471-4219.

Location: 106 Dacus Dr, Sikeston, MO, 63801-9013
person
Provider Profile Details
NPI Number
1417214610
Provider Name
Melissa A Stewart
Credential
Provider Entity Type
Individual
Gender
Female
Address
106 Dacus Dr, Sikeston, MO, 63801-9013
Phone Number
573-471-4219
Fax Number
Provider Enumeration Date
04/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629195607 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
106 Dacus Dr
City
State
Zip
63801-9013
Phone Number
573-471-4219
Fax Number
person
Provider Business Mailing Address Details
Address
106 Dacus Dr
City
State
Zip
63801-9013
Phone Number
573-471-4219
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
EC2-0290-1011 (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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