NPI | 1760553101 |
---|---|
Doing Business As | BELLEFONTAINE 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 (Licence: MO exempt) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-10-20 |