Provider Demographics
NPI:1093499931
Name:AMBIANCE CARE LLC
Entity Type:Organization
Organization Name:AMBIANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NEVALL
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:TOWNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-771-6948
Mailing Address - Street 1:2558 QUEEN BEE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-1024
Mailing Address - Country:US
Mailing Address - Phone:931-771-6948
Mailing Address - Fax:931-901-1333
Practice Address - Street 1:2558 QUEEN BEE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-1024
Practice Address - Country:US
Practice Address - Phone:931-771-6948
Practice Address - Fax:931-901-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care