| NPI | 1194933499 |
|---|---|
| Doing Business As | SOUTH COUNTY HABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-26 |