Provider Demographics
NPI:1770794877
Name:INDEPENDENT OPPORTUNITIES, INC.
Entity type:Organization
Organization Name:INDEPENDENT OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:E.
Authorized Official - Middle Name:THEIRL
Authorized Official - Last Name:JARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-744-5067
Mailing Address - Street 1:6202 S LEWIS AVE STE P
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1064
Mailing Address - Country:US
Mailing Address - Phone:918-744-5067
Mailing Address - Fax:918-683-8162
Practice Address - Street 1:6202 S LEWIS AVE STE P
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-1064
Practice Address - Country:US
Practice Address - Phone:918-744-5067
Practice Address - Fax:918-683-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100688310DMedicaid