Organization
ABILITY PATHWAYS INC
Active
Other names
ELM DIVISION
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CLARKE (PRESIDENT)
(909) 240-7680
Entity
Organization
Contact information
Practice address
1042 N MOUNTAIN AVE, B-447, UPLAND, CA 91786-3695
(909) 240-7680
(909) 980-1656
Mailing address
1042 N MOUNTAIN AVE, B-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
—
LTC80319G
—
CA
Enumeration date
04/25/2008
Last updated
04/25/2008
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