Healthcare Provider Details

I. General information

NPI: 1164348090
Provider Name (Legal Business Name): ABLEWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 SIMPSON FERRY RD STE 100
CAMP HILL PA
17011-6405
US

IV. Provider business mailing address

141 N PALMETTO AVE UNIT 2150
EAGLE ID
83616-8086
US

V. Phone/Fax

Practice location:
  • Phone: 253-426-2010
  • Fax:
Mailing address:
  • Phone: 253-426-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN LEE SUNDERLAND JR.
Title or Position: OPERATIONS PARTNER
Credential:
Phone: 253-426-2010