OrganizationActive
South Haven Residential Care LLC
NPI 1538286265 · Assisted Living Facility (Mental Illness) · Mineral Point, MO
Provider details
- NPI number
- 1538286265
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Anderson, Secretary(573) 546-1616
- License
- 033284 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
10462 Airport Rd
Mineral Point, MO 63660-9325
Phone: (573) 438-4150
Fax: (573) 438-4156
Approximate (ZIP-level) locationGet directions
Mailing address
231 S Main St
Ironton, MO 63650-1307
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.