Home Court Advantage V
Home Court Advantage V is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
1211 E Broadway StBolivar, MO 65613-2952
Phone: (417) 777-6980
Fax: (417) 777-6981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (MO) |
|---|
Record details
| NPI number | 1144402488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert McCrimmon — Administrator/Ceo · (417) 777-6980 |
| NPI enumerated | November 28, 2007 |
| Last updated in NPPES | November 28, 2007 |
| Mailing address | 972 E 433rd Rd, Po Box 771, Bolivar, MO 65613 |
Other providers in Bolivar
-
Azare
4243 Highway D, Bolivar, MO 65613-9302 · (417) 777-4948
-
Preferred Family Healthcare, Inc
115 E Maupin St, Bolivar, MO 65613-2127 · (417) 869-8911