Provider Demographics
NPI:1568076479
Name:ABILITIES PERSONIFIED FOR LIFE ENHANCEMENT
Entity Type:Organization
Organization Name:ABILITIES PERSONIFIED FOR LIFE ENHANCEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STIUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-695-6166
Mailing Address - Street 1:1202 BANGOR RD
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-8609
Mailing Address - Country:US
Mailing Address - Phone:484-695-6166
Mailing Address - Fax:
Practice Address - Street 1:1202 BANGOR RD
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-8609
Practice Address - Country:US
Practice Address - Phone:484-695-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health