Provider Demographics
NPI:1306159447
Name:UNLIMITED OPPORTUNITIES, INC.
Entity type:Organization
Organization Name:UNLIMITED OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCCARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-882-5576
Mailing Address - Street 1:1620 W ASHLEY RD
Mailing Address - Street 2:PO BOX 239
Mailing Address - City:BOONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65233-2740
Mailing Address - Country:US
Mailing Address - Phone:660-882-5576
Mailing Address - Fax:660-882-3018
Practice Address - Street 1:1620 W ASHLEY RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65233-2740
Practice Address - Country:US
Practice Address - Phone:660-882-5576
Practice Address - Fax:660-882-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO866261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care