Provider Demographics
NPI:1750656153
Name:ABILITIES FIRST, INC.
Entity Type:Organization
Organization Name:ABILITIES FIRST, INC.
Other - Org Name:ABILITIES FIRST, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXUCITIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELETTA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:985-359-1777
Mailing Address - Street 1:3217 NEW HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-6436
Mailing Address - Country:US
Mailing Address - Phone:985-359-1777
Mailing Address - Fax:985-359-1779
Practice Address - Street 1:3217 HWY 51
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-6436
Practice Address - Country:US
Practice Address - Phone:985-359-1777
Practice Address - Fax:985-359-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781055261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2193708Medicaid