Provider Demographics
NPI:1891926820
Name:ANOTHER OPPORTUNITY REHABILITATION SERVICES, LLC
Entity type:Organization
Organization Name:ANOTHER OPPORTUNITY REHABILITATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-482-2930
Mailing Address - Street 1:108 E KING ST
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-1956
Mailing Address - Country:US
Mailing Address - Phone:252-482-2930
Mailing Address - Fax:
Practice Address - Street 1:108 E KING ST
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-1956
Practice Address - Country:US
Practice Address - Phone:252-482-2930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-08
Last Update Date:2009-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health