South Haven Residential Care LLC

NPI #1538286265 in Mineral Point, Missouri

Provider Information

NPI Number
1538286265
Entity Type
Organization
Organization Name
South Haven Residential Care LLC
Primary Specialty
Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date
Mar 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
10462 AIRPORT RD
ZIP Code
63660-9325
Phone
(573) 438-4150

Authorized Official

Name
PATRICIA ANDERSON
Title
SECRETARY
Phone
(573) 546-1616

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness

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