Provider Demographics
NPI:1538212949
Name:WILLIAMSON BURNET COUNTY OPPORTUNITES, INC.
Entity type:Organization
Organization Name:WILLIAMSON BURNET COUNTY OPPORTUNITES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-763-1400
Mailing Address - Street 1:PO BOX 740
Mailing Address - Street 2:604 HIGH TECH DRIVE (DO NOT MAIL TO STREET ADDRESS)
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-0740
Mailing Address - Country:US
Mailing Address - Phone:512-763-1400
Mailing Address - Fax:512-763-1400
Practice Address - Street 1:110 S BROWN ST
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5812
Practice Address - Country:US
Practice Address - Phone:512-763-1400
Practice Address - Fax:512-763-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00672261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care