Healthcare Provider Details

I. General information

NPI: 1548312002
Provider Name (Legal Business Name): ABILITIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 10/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W CASWELL ST
KINSTON NC
28501-4814
US

IV. Provider business mailing address

PO BOX 1521
KINSTON NC
28503-1521
US

V. Phone/Fax

Practice location:
  • Phone: 252-939-9944
  • Fax:
Mailing address:
  • Phone: 252-939-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE LEE TAYLOR JR.
Title or Position: PRESIDENT/DIRECTOR
Credential:
Phone: 252-939-9944