Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willhaven Residential Complex, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1790802916

Willhaven Residential Complex, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2698 Debbie Ln
Poplar Bluff, MO 63901-2629
Phone: (573) 686-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence N00027062 (MO)

Record details

NPI number1790802916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dairel Denton — Pres. · (573) 686-3053
NPI enumeratedMarch 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1054, Poplar Bluff, MO 63902-1054

Other providers in Poplar Bluff