NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538286265 |   |   |   | SOUTH HAVEN RESIDENTIAL CARE LLC | 231 S MAIN ST | IRONTON | MO | 636501307 |
1992292270 |   |   |   | SOUTH HAVEN RESIDENTIAL CARE CENTER, LLC | PO BOX 272 | FARMINGTON | MO | 636400272 |