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NPI Code Detail

MEDICARE: ABILITY ADVOCATES LLC

MEDICARE: ABILITY ADVOCATES LLC
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
1253Z00000XIn Home Supportive Care Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3376J00000XHomemaker
4385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
5320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1003426990
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABILITY ADVOCATES LLC
Provider Business Mailing Address
First Line : 2936 NORTH AVE UNIT A&B
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6475
Country : US
Telephone Number : 720-481-7453
Fax Number :
Provider Business Practice Location Address
First Line : 2936 NORTH AVE UNIT A&B
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81504-6475
Country : US
Telephone Number : 720-481-7453
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SYDNEY JOHNSTON
Credential : ED.S
Telephone Number : 720-481-7453
Provider Enumeration Date : 08/05/2020
Last Update Date : 06/15/2023

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Directions to “ABILITY ADVOCATES LLC ” Practice Location

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