Healthcare Provider Details

I. General information

NPI: 1346586591
Provider Name (Legal Business Name): ABILITIES FIRST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3217 NEW HIGHWAY 51
LA PLACE LA
70068-6436
US

IV. Provider business mailing address

3217 NEW HIGHWAY 51
LA PLACE LA
70068-6436
US

V. Phone/Fax

Practice location:
  • Phone: 985-359-1777
  • Fax: 985-359-1779
Mailing address:
  • Phone: 985-359-1777
  • Fax: 985-359-1779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number2203781055
License Number StateLA

VIII. Authorized Official

Name: DR. SHELETTA WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 985-359-1777