Provider Demographics
NPI:1073000642
Name:ENABLE, INC.
Entity Type:Organization
Organization Name:ENABLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAILIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-987-5003
Mailing Address - Street 1:13 ROSZEL RD STE B110
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6211
Mailing Address - Country:US
Mailing Address - Phone:609-987-5003
Mailing Address - Fax:
Practice Address - Street 1:559 UNION AVE FL 2
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-1938
Practice Address - Country:US
Practice Address - Phone:732-805-3070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0475629Medicaid