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Organization
ABILITY PATHWAYS INCORPORATED
Active
Organization
ABILITY PATHWAYS INCORPORATED
Active
Other names
Casa Del Sol Division
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CLARKE (PRESIDENT)
(909) 240-7680
Entity
Organization
Contact information
Practice address
8141 TROOST AVE, N HOLLYWOOD, CA 91605-1627
(818) 767-3618
(909) 981-0296
Mailing address
1042 N. MOUNTAIN AVE, B-447, UPLAND, CA 91786-3695
(909) 982-2991
(909) 981-0296
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960001093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80262G
—
CA
Enumeration date
02/28/2007
Last updated
11/06/2017
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