Provider Demographics
NPI:1194881045
Name:INDUSTRIAL OPPORTUNITIES INC.
Entity type:Organization
Organization Name:INDUSTRIAL OPPORTUNITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-321-4754
Mailing Address - Street 1:PO BOX 1649
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:NC
Mailing Address - Zip Code:28901-1649
Mailing Address - Country:US
Mailing Address - Phone:828-321-4754
Mailing Address - Fax:828-321-4784
Practice Address - Street 1:2586 BUSINESS HWY 19
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:NC
Practice Address - Zip Code:28901-1649
Practice Address - Country:US
Practice Address - Phone:828-321-4754
Practice Address - Fax:828-321-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418219Medicaid