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Willhaven Residential Complex, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri
NPI 1790802916

Willhaven Residential Complex, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Poplar Bluff, MO. Willhaven Residential Complex, Inc. practices in Poplar Bluff, MO. The NPI Number for Willhaven Residential Complex, Inc. is 1790802916 and holds a License No. N00027062 (Missouri).

The current practice location address for Willhaven Residential Complex, Inc. is 2698 Debbie Ln, Poplar Bluff, MO and can be reached out via phone at 573-686-4700.

Location: 2698 Debbie Ln, Poplar Bluff, MO, 63902-1054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790802916
Provider Name
Willhaven Residential Complex, Inc.
Credential
Provider Entity Type
Organization
Address
2698 Debbie Ln, Poplar Bluff, MO, 63902-1054
Phone Number
573-686-4700
Fax Number
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2698 Debbie Ln
City
Poplar Bluff
State
Missouri
Zip
63901-2629
Phone Number
573-686-4700
Fax Number
person
Provider Business Mailing Address Details
Address
2698 Debbie Ln
City
Poplar Bluff
State
Missouri
Zip
63901-2629
Phone Number
573-686-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
N00027062 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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