Organization Name: | IT'S A GOLDEN OPPORTUNITY, INC |
NPI Number: | 1699952721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE RANE BYERS SPRAETZ (SEC'Y/CFO) |
Mailing Address: | 1706 Superior Ave Savanna |
State: | IL US |
Postal Code: | 610742424 |
Phone Number: | 8155411857 |
Fax Number: | 8152734354 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | 14-6589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |