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NPI Code Detail

MEDICARE: ABILITY CENTER

MEDICARE: ABILITY CENTER
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
1332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1841472420
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABILITY CENTER
Provider Business Mailing Address
First Line : 4797 RUFFNER ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1519
Country : US
Telephone Number : 858-541-0552
Fax Number : 858-541-1941
Provider Business Practice Location Address
First Line : 6001 S DECATUR BLVD STE N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-3074
Country : US
Telephone Number : 702-434-3030
Fax Number : 702-434-3014
Authorized Official
Title or Position : PRESIDENT
Name : MR. DARRELL T HEATH
Credential :
Telephone Number : 858-541-0552
Provider Enumeration Date : 12/05/2007
Last Update Date : 12/05/2007

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Directions to “ABILITY CENTER ” Practice Location

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