Healthcare Provider Details

I. General information

NPI: 1659575595
Provider Name (Legal Business Name): ABILITY BEYOND DISABILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 GREENVIEW RD
NEW MILFORD CT
06776-4636
US

IV. Provider business mailing address

4 BERKSHIRE BLVD
BETHEL CT
06801-1001
US

V. Phone/Fax

Practice location:
  • Phone: 860-355-5999
  • Fax:
Mailing address:
  • Phone: 203-775-4700
  • Fax: 203-775-5734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: LORI I PASQUALINI
Title or Position: VICE PRESIDENT AND C.A.F.O.
Credential:
Phone: 203-826-3033