Melissa a Stewart

NPI #1013274059 in Sikeston, Missouri

Provider Information

NPI Number: 1013274059
Entity Type: Organization
Organization Name: Melissa a Stewart
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 16, 2012
Last Updated: Oct 1, 2015

Practice Location

Address: 106 DACUS DRIVE
City: Sikeston
State: Missouri
ZIP Code: 63801-3801
Phone: (573) 471-4219

Authorized Official

Name: MRS. MELISSA A STEWART
Title: OWNER/ADMINISTRATOR
Phone: (573) 471-4219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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