Organization
ABLEWAY ADULT RESIDENTIAL FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SIMS (OWNER)
(424) 233-5881
Entity
Organization
Contact information
Practice address
17929 STEVENS ST, ADELANTO, CA 92301-2288
(424) 233-5881
Mailing address
9826 CEDAR ST APT 12A, BELLFLOWER, CA 90706-6967
(424) 233-5881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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