Healthcare Provider Details

I. General information

NPI: 1114042587
Provider Name (Legal Business Name): INDEPENDENT OPPORTUNITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 S LEWIS AVE STE P
TULSA OK
74136-1064
US

IV. Provider business mailing address

6202 S LEWIS AVE STE P
TULSA OK
74136-1064
US

V. Phone/Fax

Practice location:
  • Phone: 918-744-5076
  • Fax:
Mailing address:
  • Phone: 918-744-5076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: E. THEIRL JARMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 918-744-5067