| Boys Home Of The South | |
|
10612 Augusta Rd Belton SC 29627-9246 | |
| (864) 243-3443 | |
| (864) 243-5743 |
| Full Name | Boys Home Of The South |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10612 Augusta Rd, Belton, South Carolina |
| Authorized Official Name and Position | Vernon R Hayes (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8642433443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys Home Of The South 10612 Augusta Rd Belton SC 29627-9246 Ph: (864) 243-3443 | Boys Home Of The South 10612 Augusta Rd Belton SC 29627-9246 Ph: (864) 243-3443 |
| NPI Number | 1083910517 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083910517 | NPI | - | NPPES |
| 968MHX | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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