STATE OF MISSOURI

SAINT LOUIS, MO
NPI1710931167
Doing Business AsBELLEFONTAINE HABILITATION CENTER
Entity TypeOrganization
Authorized ContactMOLLY JANE BOECKMANN
Director Of Administrative Services
573-751-4055
Organization Subpart ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Additional Taxonomies207Q00000X Family Medicine
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2006-05-20
Last Update Date2020-10-27
Business Address
STATE OF MISSOURI
10695 BELLEFONTAINE RD
SAINT LOUIS, MO 63137-2315
Phone number: 314-340-6000
Mailing Address
STATE OF MISSOURI
1706 E ELM ST
JEFFERSON CITY, MO 65101-4130
Phone number: 573-751-3398