MEDICARE: OPPORTUNITIES UNLIMITED

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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	0881219	IA
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972644557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPPORTUNITIES UNLIMITED

Provider Business Mailing Address
First Line	:	3439 GLEN OAKS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1761
Country	:	US
Telephone Number	:	712-277-8295
Fax Number	:	712-277-8602

Provider Business Practice Location Address
First Line	:	1941 35TH ST
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1558
Country	:	US
Telephone Number	:	712-277-8295
Fax Number	:	712-277-8602

Authorized Official
Title or Position	:	FINANCE MANAGER
Name	:	TREY WEAVER
Credential	:
Telephone Number	:	712-277-8295

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	06/19/2019

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Directions to “OPPORTUNITIES UNLIMITED ” Practice Location

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