Healthcare Provider Details

I. General information

NPI: 1255406658
Provider Name (Legal Business Name): OPPORTUNITY RESOURCES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 S RUSSELL ST
MISSOULA MT
59801-7913
US

IV. Provider business mailing address

2821 S RUSSELL ST
MISSOULA MT
59801-7913
US

V. Phone/Fax

Practice location:
  • Phone: 406-721-2930
  • Fax: 406-721-8744
Mailing address:
  • Phone: 406-721-2930
  • Fax: 406-721-8744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSH KENDRICK
Title or Position: CEO
Credential:
Phone: 406-721-2930