Wandas Home

NPI #1194858001 in Sikeston, Missouri

Provider Information

NPI Number: 1194858001
Entity Type: Organization
Organization Name: Wandas Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 411 HARRISON ST
City: Sikeston
State: Missouri
ZIP Code: 63801
Phone: (573) 471-4460

Authorized Official

Name: MRS. WANDA MARIE EVANS
Title: OWNER ADMINISTRATOR
Phone: (573) 471-4460

Specialties & Taxonomy Codes

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

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