Provider Demographics
NPI:1588954481
Name:ABLE ABILITIES GROUP
Entity type:Organization
Organization Name:ABLE ABILITIES GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNDIMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-972-9191
Mailing Address - Street 1:204 MARSH AVE
Mailing Address - Street 2:STE 203
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1652
Mailing Address - Country:US
Mailing Address - Phone:775-972-9191
Mailing Address - Fax:775-972-9191
Practice Address - Street 1:204 MARSH AVE
Practice Address - Street 2:STE 203
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1652
Practice Address - Country:US
Practice Address - Phone:775-972-9191
Practice Address - Fax:775-972-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness