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Melissa A Stewart
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Sikeston, Missouri
NPI 1629195607

Melissa A Stewart is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Sikeston, MO. Melissa A Stewart practices in Sikeston, MO. The NPI Number for Melissa A Stewart is 1629195607 and holds a License No. 13678892 (Missouri).

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

Location: 106 Dacus, Sikeston, MO, 63801-9013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629195607
Provider Name
Melissa A Stewart
Credential
Provider Entity Type
Organization
Address
106 Dacus, Sikeston, MO, 63801-9013
Phone Number
573-471-4219
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
853126100 05 MO
institution
Provider Business Practice Location Address Details
Address
106 Dacus
City
Sikeston
State
Missouri
Zip
63801
Phone Number
573-471-4219
Fax Number
person
Provider Business Mailing Address Details
Address
106 Dacus
City
Sikeston
State
Missouri
Zip
63801
Phone Number
573-471-4219
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
13678892 (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.
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