Provider Demographics
NPI:1679698658
Name:OPPORTUNITIES UNLIMITED, INC.
Entity type:Organization
Organization Name:OPPORTUNITIES UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-743-1563
Mailing Address - Street 1:325 SNAKE RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-2261
Mailing Address - Country:US
Mailing Address - Phone:208-743-1563
Mailing Address - Fax:208-798-0340
Practice Address - Street 1:108 W 3RD ST
Practice Address - Street 2:BUILDING 1 HWY 12
Practice Address - City:KAMIAH
Practice Address - State:ID
Practice Address - Zip Code:83536
Practice Address - Country:US
Practice Address - Phone:208-935-0847
Practice Address - Fax:208-935-0852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty