Organization
ABILITY PATHWAYS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLARKE MBA (PRESIDENT)
(909) 240-7680
Entity
Organization
Contact information
Practice address
1042 N MOUNTAIN AVE, B-447, UPLAND, CA 91786-3695
(909) 240-7680
(909) 981-0296
Mailing address
1042 N MOUNTAIN AVE, B-447, UPLAND, CA 91786-3695
(909) 240-7680
(909) 981-0296
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
960000792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
960000792
DEPARTMENT OF HEALTH
CA
Enumeration date
08/01/2016
Last updated
08/01/2016
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