Home Court Advantage V

LBN: Home Court Advantage V
Home Court Advantage V is an health care organization with primary practice located at 1211 E Broadway St , Bolivar MO 65613-2952. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Home Court Advantage V can be contacted via phone (417) 777-6980, or through Mccrimmon, Robert via phone (417) 777-6980.

Contact Information

Primary practice address
1211 E Broadway St Bolivar MO 65613-2952
Phone: (417) 777-6980
Fax: (417) 777-6981
Website:
Map and Directions
Authorized official contact:
Name: Mccrimmon, Robert
Phone: (417) 777-6980

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Missouri

Profile Details

NPI number 1144402488
LBN Legal business name Home Court Advantage V
DBA Doing business as
Authorized official Mccrimmon, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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