Provider Demographics
NPI:1609928340
Name:ABILITIES UNLIMITED OF JONESBORO, INC.
Entity Type:Organization
Organization Name:ABILITIES UNLIMITED OF JONESBORO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONSUMER SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEUSY
Authorized Official - Suffix:
Authorized Official - Credentials:CRC
Authorized Official - Phone:870-932-1551
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1207
Mailing Address - Country:US
Mailing Address - Phone:870-932-1551
Mailing Address - Fax:870-930-9589
Practice Address - Street 1:2725 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-8306
Practice Address - Country:US
Practice Address - Phone:870-932-1551
Practice Address - Fax:870-930-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services