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NPI Code Detail

MEDICARE: OPPORTUNITIES NEVER END LLC

MEDICARE: OPPORTUNITIES NEVER END LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2101YS0200XSchool Counselor
3174200000XMeals Provider
4177F00000XLodging Provider
5251B00000XCase Management Agency
6251S00000XCommunity/Behavioral Health Agency
7101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164048542
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPPORTUNITIES NEVER END LLC
Provider Business Mailing Address
First Line : PO BOX 341508
Second Line :
City : MEMPHIS
State : TN
Zip : 38184-1508
Country : US
Telephone Number : 901-721-3714
Fax Number :
Provider Business Practice Location Address
First Line : 5629 FALLING BARK DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38134-6671
Country : US
Telephone Number : 901-864-2211
Fax Number :
Authorized Official
Title or Position : CEO
Name : KIMBERLY RENEE MILAM
Credential : MS ABA
Telephone Number : 901-721-3714
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/22/2020

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Directions to “OPPORTUNITIES NEVER END LLC ” Practice Location

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