Provider Demographics
NPI:1821023557
Name:IMAGINE THE POSSIBILITIES, INC.
Entity type:Organization
Organization Name:IMAGINE THE POSSIBILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-673-3459
Mailing Address - Street 1:1701 3RD AVE E
Mailing Address - Street 2:SUITE 6
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-3071
Mailing Address - Country:US
Mailing Address - Phone:641-673-3459
Mailing Address - Fax:641-673-0195
Practice Address - Street 1:1701 3RD AVE E
Practice Address - Street 2:SUITE 6
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-3071
Practice Address - Country:US
Practice Address - Phone:641-673-3459
Practice Address - Fax:641-673-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0101451Medicaid