MEDICARE: ABILITY PATHWAYS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	9600001091	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467580456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY PATHWAYS INCORPORATED

Provider Business Mailing Address
First Line	:	1042 N. MOUNTAIN AVE
Second Line	:	B-447
City	:	UPLAND
State	:	CA
Zip	:	91786-3695
Country	:	US
Telephone Number	:	909-982-2991
Fax Number	:	909-981-0296

Provider Business Practice Location Address
First Line	:	9714 LA TUNA CANYON
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-2234
Country	:	US
Telephone Number	:	818-768-6765
Fax Number	:	909-981-0296

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MICHELLE CLARKE
Credential	:
Telephone Number	:	909-240-7680

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/06/2017

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Directions to “ABILITY PATHWAYS INCORPORATED ” Practice Location

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