Organization
STONEHAVEN VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BORO (MANAGING MEMBER)
(314) 873-8851
Entity
Organization
Contact information
Practice address
207 DOVER ST, SAINT LOUIS, MO 63111-2210
(314) 873-8851
(314) 873-8851
Mailing address
207 DOVER ST, SAINT LOUIS, MO 63111-2210
(314) 873-8851
(314) 873-8851
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/23/2026
Last updated
03/25/2026
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