Southaven INC
NPI #1013034602 in Kennett, Missouri
Provider Information
- NPI Number
- 1013034602
- Entity Type
- Organization
- Organization Name
- Southaven INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Jul 7, 2008
Practice Location
Authorized Official
- Name
- MRS. GINA DAWN STOVERINK
- Title
- OWNER ADMINISTRATOR
- Phone
- (573) 888-9213
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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