Provider Demographics
NPI:1144797739
Name:ABLE RESIDENTIAL & COMMUNITY OPTIONS, LLC
Entity Type:Organization
Organization Name:ABLE RESIDENTIAL & COMMUNITY OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-645-6202
Mailing Address - Street 1:909 S 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4461
Mailing Address - Country:US
Mailing Address - Phone:920-645-6202
Mailing Address - Fax:920-645-6203
Practice Address - Street 1:909 S 29TH ST
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-4461
Practice Address - Country:US
Practice Address - Phone:920-645-6202
Practice Address - Fax:920-645-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services