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Home Court Advantage V
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bolivar, Missouri
NPI 1144402488

Home Court Advantage V is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bolivar, MO. Home Court Advantage V practices in Bolivar, MO. The NPI Number for Home Court Advantage V is 1144402488 and holds a License No. (Missouri).

The current practice location address for Home Court Advantage V is 1211 E Broadway St, Bolivar, MO and can be reached out via phone at 417-777-6980 and via fax at 417-777-6981.

Location: 1211 E Broadway St, Bolivar, MO, 65613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144402488
Provider Name
Home Court Advantage V
Credential
Provider Entity Type
Organization
Address
1211 E Broadway St, Bolivar, MO, 65613
Phone Number
417-777-6980
Fax Number
417-777-6981
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1211 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-2952
Phone Number
417-777-6980
Fax Number
417-777-6981
person
Provider Business Mailing Address Details
Address
1211 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-2952
Phone Number
417-777-6980
Fax Number
417-777-6981
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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