Provider Demographics
NPI:1003057134
Name:OPPORTUNITIES, INC. OF JEFFERSON COUNTY
Entity Type:Organization
Organization Name:OPPORTUNITIES, INC. OF JEFFERSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEDUC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-563-2437
Mailing Address - Street 1:200 E CRAMER ST
Mailing Address - Street 2:P.O. BOX 278
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-1257
Mailing Address - Country:US
Mailing Address - Phone:920-563-2437
Mailing Address - Fax:920-563-4651
Practice Address - Street 1:200 E CRAMER ST
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1257
Practice Address - Country:US
Practice Address - Phone:920-563-2437
Practice Address - Fax:920-563-4651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services