Provider Demographics
NPI:1366611196
Name:ABILITY BUILDING CENTER INC
Entity type:Organization
Organization Name:ABILITY BUILDING CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KRONEBUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-535-7112
Mailing Address - Street 1:1911 14TH ST NW
Mailing Address - Street 2:PO BOX 6938
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0756
Mailing Address - Country:US
Mailing Address - Phone:507-281-6262
Mailing Address - Fax:507-281-6270
Practice Address - Street 1:1911 14TH ST NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-0756
Practice Address - Country:US
Practice Address - Phone:507-281-6262
Practice Address - Fax:507-281-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN800026-3-DTH251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0584045Medicaid