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Organization

ABILITY PATHWAYS INC

Active
Other names
LILAC DIVISION
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CLARKE (PRESIDENT)
(909) 240-7680
Entity
Organization

Contact information

Practice address
1886 S LILAC CT, LOMA LINDA, CA 92354-1759
(909) 240-7680
(909) 980-1656
Mailing address
1042 N MOUNTAIN AVE, SUITE B BOX 447, UPLAND, CA 91786-3695
(909) 240-7680
(909) 980-1656

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC80301G
CA
Enumeration date
04/24/2008
Last updated
04/24/2008
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