Provider Demographics
NPI:1205174802
Name:ABILITY PATHWAYS INC
Entity type:Organization
Organization Name:ABILITY PATHWAYS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-240-7680
Mailing Address - Street 1:1042 N. MOUNTAIN AVE
Mailing Address - Street 2:B-447
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-240-7680
Mailing Address - Fax:909-981-0296
Practice Address - Street 1:5290 JONES AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-1306
Practice Address - Country:US
Practice Address - Phone:951-299-7024
Practice Address - Fax:951-299-7024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABILITY PATHWAYS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home