Organization
ABLE ABILITIES, LCC
Active
Parent organization
ABLE ABILITIES. LLC
Other names
Able Abilities
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABLE ABILITIES. LLC
Authorized official
CLIFFORD FOXWORTH (OWNER)
(480) 679-8715
Entity
Organization
Contact information
Practice address
4852 S 20TH PL, PHOENIX, AZ 85040-2513
(602) 283-4144
Mailing address
2320 E BASELINE RD STE 148-485, PHOENIX, AZ 85042-6966
(480) 679-8715
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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