Provider Demographics
NPI:1831384338
Name:COMMUNITY WORK OPPORTUNITIES, LLC
Entity type:Organization
Organization Name:COMMUNITY WORK OPPORTUNITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOISVENU
Authorized Official - Suffix:X
Authorized Official - Credentials:
Authorized Official - Phone:734-458-8140
Mailing Address - Street 1:32231 SCHOOLCRAFT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4312
Mailing Address - Country:US
Mailing Address - Phone:734-458-8140
Mailing Address - Fax:734-458-7935
Practice Address - Street 1:5900 N LILLEY RD
Practice Address - Street 2:SUITE 108
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:2007-09-08
Last Update Date:2011-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251V00000XAgenciesVoluntary or Charitable
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities