Organization
ABILITY PATHWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CLARKE (PRESIDENT)
(909) 240-7680
Entity
Organization
Contact information
Practice address
8137 TROOST AVE, N HOLLYWOOD, CA 91605-1627
(818) 767-7759
(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
96009192
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC80259G
—
CA
Enumeration date
02/28/2007
Last updated
11/06/2017
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