Organization
ABILITIES UNLOCKED
Active
Other names
Abilities Unlocked
Organization subpart
No
Provider details
NPI number
Authorized official
RENADDA WIGGINS (CEO)
(323) 377-7203
Entity
Organization
Contact information
Practice address
10816 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601-2519
(323) 377-7203
Mailing address
PO BOX 882125, LOS ANGELES, CA 90009-3022
(323) 377-7203
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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