Organization · Type 2 NPI
Melissa A Stewart
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sikeston, MO
Practice location
106 Dacus Drive
Sikeston, MO 63801-3801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1013274059
Melissa A Stewart's National Provider Identifier is 1013274059, issued on Apr 16, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sikeston, MO. The record was last updated on Oct 1, 2015.