Provider Demographics
NPI:1629295167
Name:ABILITIES FIRST
Entity Type:Organization
Organization Name:ABILITIES FIRST
Other - Org Name:DOTY HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT ADULT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:513-423-9496
Mailing Address - Street 1:4710 TIMBER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5349
Mailing Address - Country:US
Mailing Address - Phone:513-423-9496
Mailing Address - Fax:513-423-1717
Practice Address - Street 1:4710 TIMBER TRAIL DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-5349
Practice Address - Country:US
Practice Address - Phone:513-423-9496
Practice Address - Fax:513-423-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities