Provider Demographics
NPI:1073990685
Name:COMMUNITY WORK OPPORTUNITIES LLC
Entity Type:Organization
Organization Name:COMMUNITY WORK OPPORTUNITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMONTAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-981-3709
Mailing Address - Street 1:5900 N LILLEY RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3776
Mailing Address - Country:US
Mailing Address - Phone:734-981-3709
Mailing Address - Fax:734-981-5384
Practice Address - Street 1:5900 N LILLEY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3776
Practice Address - Country:US
Practice Address - Phone:734-981-3709
Practice Address - Fax:734-981-5384
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEST INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services