Organization
OPPORTUNITIES UNLIMITED
Active
Other names
Woodridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. BRIDE (CHIEF FINANCIAL OFFICER)
(712) 277-8295
Entity
Organization
Contact information
Practice address
3536 GLEN OAKS BLVD, SIOUX CITY, IA 51104-1545
(712) 277-8295
(712) 277-8602
Mailing address
3439 GLEN OAKS BLVD, SIOUX CITY, IA 51104-1761
(712) 277-8295
(712) 277-8602
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0881078
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0881078
—
IA
Enumeration date
02/08/2007
Last updated
08/22/2020
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