Provider Demographics
NPI:1063456341
Name:MIDWEST OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:MIDWEST OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-322-3520
Mailing Address - Street 1:724 DAVIS AVE
Mailing Address - Street 2:P.O. BOX 47
Mailing Address - City:CORNING
Mailing Address - State:IA
Mailing Address - Zip Code:50841-1446
Mailing Address - Country:US
Mailing Address - Phone:641-322-3520
Mailing Address - Fax:641-322-3650
Practice Address - Street 1:724 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841-1446
Practice Address - Country:US
Practice Address - Phone:641-322-3520
Practice Address - Fax:641-322-3650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIMR-834315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA16G107Medicaid