Healthcare Provider Details

I. General information

NPI: 1831229954
Provider Name (Legal Business Name): WELTYS CARE CENTER II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20638 HIGHWAY 51
QULIN MO
63961
US

IV. Provider business mailing address

PO BOX 70
QULIN MO
63961-0070
US

V. Phone/Fax

Practice location:
  • Phone: 573-328-4391
  • Fax:
Mailing address:
  • Phone: 573-328-4391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLYN SUE WELTY
Title or Position: OWNER
Credential:
Phone: 573-328-4391