Provider Demographics
NPI:1467107482
Name:AMBASSADOR LOVING CARE INC.
Entity Type:Organization
Organization Name:AMBASSADOR LOVING CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBUEFI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:470-412-1001
Mailing Address - Street 1:7952 AMAWALK CIR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1920
Mailing Address - Country:US
Mailing Address - Phone:470-412-1001
Mailing Address - Fax:678-820-2003
Practice Address - Street 1:7952 AMAWALK CIR
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-1920
Practice Address - Country:US
Practice Address - Phone:470-412-1001
Practice Address - Fax:678-820-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health