Provider Demographics
NPI:1720848476
Name:ABILITIES ENRICHMENT CENTER, LLC
Entity Type:Organization
Organization Name:ABILITIES ENRICHMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOIVONEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-892-2042
Mailing Address - Street 1:7080 ENGLE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3468
Mailing Address - Country:US
Mailing Address - Phone:440-892-2042
Mailing Address - Fax:
Practice Address - Street 1:7080 ENGLE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3468
Practice Address - Country:US
Practice Address - Phone:440-892-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities