Provider Demographics
NPI:1669052031
Name:ADULT ABILITIES LLC
Entity type:Organization
Organization Name:ADULT ABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANTILA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:219-276-1147
Mailing Address - Street 1:3873 MASSACHUSETTS ST
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46409-1507
Mailing Address - Country:US
Mailing Address - Phone:219-276-1147
Mailing Address - Fax:
Practice Address - Street 1:3873 MASSACHUSETTS ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46409-1507
Practice Address - Country:US
Practice Address - Phone:219-276-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABILITIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty