Organization
BOYS HOME OF THE SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON R HAYES (EXECUTIVE DIRECTOR)
(864) 243-3443
Entity
Organization
Contact information
Practice address
10612 AUGUSTA RD, BELTON, SC 29627-9246
(864) 243-3443
(864) 243-5743
Mailing address
10612 AUGUSTA RD, BELTON, SC 29627-9246
(864) 243-3443
(864) 243-5743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968MHX
—
SC
Enumeration date
02/01/2011
Last updated
02/14/2011
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