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Willhaven Residential Complex, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Poplar Bluff, MO · enumerated 2007 · authorized official Dairel Denton, Pres..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790802916

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Registry record

Entity type Organization (Type 2)
Legal business name Willhaven Residential Complex, Inc.
Practice address 2698 Debbie Ln, Poplar Bluff, MO, 63901
Enumeration date Mar 23, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License N00027062 (MO) Primary

Authorized official

Name Dairel Denton
Title Pres.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Willhaven Residential Complex, Inc.?
Willhaven Residential Complex, Inc. is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.