Provider Demographics
NPI:1255406658
Name:OPPORTUNITY RESOURCES INC
Entity type:Organization
Organization Name:OPPORTUNITY RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-721-2930
Mailing Address - Street 1:2821 S RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-7913
Mailing Address - Country:US
Mailing Address - Phone:406-721-2930
Mailing Address - Fax:406-721-8744
Practice Address - Street 1:2821 S RUSSELL ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7913
Practice Address - Country:US
Practice Address - Phone:406-721-2930
Practice Address - Fax:406-721-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0606580Medicaid
MT0256666Medicaid
MT0470849Medicaid
MT0470866Medicaid
MT0520047Medicaid