Provider Demographics
NPI:1982358941
Name:OPPORTUNITY TO MAKE CHOICES
Entity Type:Organization
Organization Name:OPPORTUNITY TO MAKE CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLUM ( HARRIS )
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-462-6896
Mailing Address - Street 1:2142 IDUMA TRL
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3921
Mailing Address - Country:US
Mailing Address - Phone:254-462-6896
Mailing Address - Fax:
Practice Address - Street 1:820 VINTAGE WAY
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-9200
Practice Address - Country:US
Practice Address - Phone:254-462-6896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility