Wyatt House Inc

LBN: Wyatt House Inc
Wyatt House Inc is an health care organization with primary practice located at 707 Wyatt Ave , Golden City MO 64748-8300. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Wyatt House Inc can be contacted via phone (417) 537-4200, or through Throckmorton, Paul D via phone (417) 537-4200.

Contact Information

Primary practice address
707 Wyatt Ave Golden City MO 64748-8300
Phone: (417) 537-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Throckmorton, Paul D
Phone: (417) 537-4200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 5687-9292 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Missouri

Profile Details

NPI number 1003030727
LBN Legal business name Wyatt House Inc
DBA Doing business as
Authorized official Throckmorton, Paul D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 20th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003030727 NPPES
Missouri MEDICAID 852932003

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