Provider Demographics
NPI:1649563248
Name:LIFE ABILITIES, INC.
Entity Type:Organization
Organization Name:LIFE ABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:214-586-1502
Mailing Address - Street 1:740 E CAMPBELL RD STE 900
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-1886
Mailing Address - Country:US
Mailing Address - Phone:214-586-1502
Mailing Address - Fax:214-051-2310
Practice Address - Street 1:740 E CAMPBELL RD STE 900
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1886
Practice Address - Country:US
Practice Address - Phone:214-586-1502
Practice Address - Fax:214-501-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health