Provider Demographics
NPI:1205094844
Name:SERVICE OPTIONS UNLIMITED, INC.
Entity type:Organization
Organization Name:SERVICE OPTIONS UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWEAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-374-7927
Mailing Address - Street 1:1904 NW 12TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3419
Mailing Address - Country:US
Mailing Address - Phone:352-374-7927
Mailing Address - Fax:352-374-7048
Practice Address - Street 1:1904 NW 12TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3419
Practice Address - Country:US
Practice Address - Phone:352-374-7927
Practice Address - Fax:352-374-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL671206196Medicaid