Provider Demographics
NPI:1568688489
Name:ABILITIES SERVICES, INC
Entity Type:Organization
Organization Name:ABILITIES SERVICES, INC
Other - Org Name:MAPLEWOOD
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-362-4020
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-0808
Mailing Address - Country:US
Mailing Address - Phone:765-362-4020
Mailing Address - Fax:
Practice Address - Street 1:850 MAPLELEAF DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2297
Practice Address - Country:US
Practice Address - Phone:765-362-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2633I0002DE08320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities