Provider Demographics
NPI:1972958387
Name:ABILITIES, INC.
Entity type:Organization
Organization Name:ABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KLITZKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-563-8554
Mailing Address - Street 1:426 MCMILLEN ST STE 3
Mailing Address - Street 2:PO BOX84
Mailing Address - City:FORT ATKINSON
Mailing Address - State:WI
Mailing Address - Zip Code:53538-1996
Mailing Address - Country:US
Mailing Address - Phone:920-563-5884
Mailing Address - Fax:
Practice Address - Street 1:426 MCMILLEN ST STE 3
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1996
Practice Address - Country:US
Practice Address - Phone:920-563-5884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2090831310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility