| NPI | 1770866030 |
|---|---|
| Doing Business As | BELLEFONTAINE HABILITAION CENTER-WAIVER SERVICES |
| 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 | 2011-09-23 |
| Last Update Date | 2020-10-27 |