Provider Demographics
NPI:1548745961
Name:RESIDENTIAL OPPORTUNITIES INC.
Entity Type:Organization
Organization Name:RESIDENTIAL OPPORTUNITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT AND COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RHASHEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:BASH
Authorized Official - Phone:269-250-8228
Mailing Address - Street 1:1100 S ROSE ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-2664
Mailing Address - Country:US
Mailing Address - Phone:269-250-8228
Mailing Address - Fax:
Practice Address - Street 1:612 LANDSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-0556
Practice Address - Country:US
Practice Address - Phone:269-250-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities