Organization
INNOVATIVE OPPORTUNITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMIA DOBBS (DIRECTOR)
(980) 832-2127
Entity
Organization
Contact information
Practice address
4614 WILGROVE MINT HILL RD, MINT HILL, NC 28227-3500
(980) 832-2127
Mailing address
4614 WILGROVE MINT HILL RD, MINT HILL, NC 28227-3500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/29/2020
Last updated
06/28/2021
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