Healthcare Provider Details

I. General information

NPI: 1770275844
Provider Name (Legal Business Name): OPPORTUNE ACRES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 E 26 RD
MARQUETTE NE
68854-4111
US

IV. Provider business mailing address

1805 E 26 RD
MARQUETTE NE
68854-4111
US

V. Phone/Fax

Practice location:
  • Phone: 402-984-6256
  • Fax: 402-267-9400
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KARI LEA VALENTINE
Title or Position: PRESIDENT
Credential: OTR/L, ATP
Phone: 402-984-6256