Organization
SOUTH HAVEN RESIDENTIAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN EILEEN VEACH (OWNER)
(573) 330-3760
Entity
Organization
Contact information
Practice address
10462 AIRPORT RD, MINERAL POINT, MO 63660-9325
(573) 438-4150
Mailing address
PO BOX 272, FARMINGTON, MO 63640-0272
(573) 330-3760
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/22/2018
Last updated
04/22/2018
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