| Opportunity Homes Inc | |
|
606 Iowa Ave Decorah IA 52101-1237 | |
| (563) 382-8140 | |
| (563) 382-5049 |
| Full Name | Opportunity Homes Inc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 606 Iowa Ave, Decorah, Iowa |
| Authorized Official Name and Position | Susan Koch-seehase (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5633828140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opportunity Homes Inc 606 Iowa Ave Po Box 166 Decorah IA 52101-1237 Ph: (563) 382-8140 | Opportunity Homes Inc 606 Iowa Ave Decorah IA 52101-1237 Ph: (563) 382-8140 |
| NPI Number | 1891891917 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891891917 | NPI | - | NPPES |
| 0234351 | Medicaid | IA | |
| 0241349 | Medicaid | IA | |
| 0745018 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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