Provider Demographics
NPI:1881034452
Name:ABILITIES SERVICE COORDINATION
Entity Type:Organization
Organization Name:ABILITIES SERVICE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SMELCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-365-3183
Mailing Address - Street 1:2328 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EMMETT
Mailing Address - State:ID
Mailing Address - Zip Code:83617-9533
Mailing Address - Country:US
Mailing Address - Phone:208-365-3183
Mailing Address - Fax:208-365-2307
Practice Address - Street 1:2328 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:EMMETT
Practice Address - State:ID
Practice Address - Zip Code:83617-9533
Practice Address - Country:US
Practice Address - Phone:208-365-3183
Practice Address - Fax:208-365-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management