Provider Demographics
NPI:1346316999
Name:ABILITIES UNLIMITED INC OF MAGNOLIA AR
Entity Type:Organization
Organization Name:ABILITIES UNLIMITED INC OF MAGNOLIA AR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-234-2558
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:2000 SOUTH WASHINGTON STREET
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71754
Mailing Address - Country:US
Mailing Address - Phone:870-234-2558
Mailing Address - Fax:870-234-8830
Practice Address - Street 1:2000 SOUTH WASHINGTON
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71754
Practice Address - Country:US
Practice Address - Phone:870-234-2558
Practice Address - Fax:870-234-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty