Wheeler Family Home

NPI #1083821987 in Hannibal, Missouri

Provider Information

NPI Number: 1083821987
Entity Type: Organization
Organization Name: Wheeler Family Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4231 DEER RUN DR
City: Hannibal
State: Missouri
ZIP Code: 63401-6246
Phone: (573) 221-0049

Authorized Official

Name: MRS. DEBRA A WHEELER
Title: ADMINISTRATOR
Phone: (573) 221-0049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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