Provider Demographics
NPI:1548645013
Name:UNLIMITED OPPORTUNITIES, LLC
Entity type:Organization
Organization Name:UNLIMITED OPPORTUNITIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:301-802-5419
Mailing Address - Street 1:2537 BLADENSBURG RD NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1420
Mailing Address - Country:US
Mailing Address - Phone:202-269-1703
Mailing Address - Fax:202-269-1704
Practice Address - Street 1:2537 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1420
Practice Address - Country:US
Practice Address - Phone:202-269-1703
Practice Address - Fax:202-269-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037519500Medicaid