Organization
PARTNERS IN OPPORTUNITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BALLARD WIREMAN (PRESIDENT)
(574) 234-0754
Entity
Organization
Contact information
Practice address
6101 NIMTZ PKWY, SOUTH BEND, IN 46628-6111
(574) 234-0754
(574) 289-0529
Mailing address
6101 NIMTZ PKWY, SOUTH BEND, IN 46628-6111
(574) 234-0754
(574) 289-0529
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200392490A
—
IN
Enumeration date
10/13/2006
Last updated
03/01/2010
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