Provider Demographics
NPI:1467137463
Name:ACE HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ACE HEALTHCARE SERVICES LLC
Other - Org Name:ACE PRIMARY CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARDI
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, FNP-BC
Authorized Official - Phone:757-230-1830
Mailing Address - Street 1:705 BANNING DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9946
Mailing Address - Country:US
Mailing Address - Phone:757-230-1830
Mailing Address - Fax:
Practice Address - Street 1:5223 WEST WOODILL DR STE 41
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:302-276-6104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty