Provider Demographics
NPI:1316091044
Name:ENDLESS OPTIONS, INC.
Entity type:Organization
Organization Name:ENDLESS OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-248-5233
Mailing Address - Street 1:222 E DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:MO
Mailing Address - Zip Code:65248-1430
Mailing Address - Country:US
Mailing Address - Phone:660-248-5233
Mailing Address - Fax:660-248-3779
Practice Address - Street 1:222 E DAVIS ST
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:MO
Practice Address - Zip Code:65248-1430
Practice Address - Country:US
Practice Address - Phone:660-248-5233
Practice Address - Fax:660-248-3779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO852755503Medicaid