Organization · Type 2 NPI

Southaven Inc

Assisted Living Facility · Kennett, MO

NPI number 1013034602 Active

Practice location

612 South By-Pass
Kennett, MO 63857

Call (573) 888-9213 Map

Fax (573) 888-9218

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X033614 (MO)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1013034602

Southaven Inc's National Provider Identifier is 1013034602, issued on Mar 26, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kennett, MO. The record was last updated on Jul 7, 2008.