Organization
HOME COURT ADVANTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCCRIMMON (CEO)
(417) 777-6980
Entity
Organization
Contact information
Practice address
1211 E BROADWAY ST, BOLIVAR, MO 65613-2952
(417) 777-6980
(417) 777-6981
Mailing address
1211 E BROADWAY ST, BOLIVAR, MO 65613-2952
(417) 777-6980
(417) 777-6981
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
62028650
MO
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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