STATE OF MISSOURI

SAINT LOUIS, MO
NPI1760553101
Doing Business AsBELLEFONTAINE HABILITATION CENTER
Entity TypeOrganization
Authorized ContactMOLLY JANE BOECKMANN
Director Of Administrative Services
573-751-4055
Organization Subpart ?Yes
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: MO  exempt)
Enumeration Date2006-11-09
Last Update Date2020-10-20
Business Address
STATE OF MISSOURI
10695 BELLEFONTAINE RD
SAINT LOUIS, MO 63137-2315
Phone number: 314-340-6000
Mailing Address
STATE OF MISSOURI
PO BOX 687
JEFFERSON CITY, MO 65102-0687
Phone number: 573-751-3398