Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyatt House Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1003030727

Wyatt House Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Golden City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 Wyatt Ave
Golden City, MO 64748-8300
Phone: (417) 537-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 5687-9292 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X (MO)

Record details

NPI number1003030727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Throckmorton — Ceo · (417) 537-4200
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 20, 2015
Mailing address707 Wyatt Ave, Golden City, MO 64748-8300

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