Provider Demographics
NPI:1861794059
Name:ABILITIES ADVANCEMENT
Entity type:Organization
Organization Name:ABILITIES ADVANCEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:ATTORNEY
Authorized Official - Phone:606-438-0042
Mailing Address - Street 1:257 COMBS RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-6851
Mailing Address - Country:US
Mailing Address - Phone:606-436-2308
Mailing Address - Fax:606-435-0080
Practice Address - Street 1:257 COMBS RD STE 2
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-6851
Practice Address - Country:US
Practice Address - Phone:606-436-2308
Practice Address - Fax:606-435-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility