Provider Demographics
NPI:1922835958
Name:AMBASSADORS SERVICES LLC
Entity type:Organization
Organization Name:AMBASSADORS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEDAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIYIBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-845-0003
Mailing Address - Street 1:604 MOODY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-3886
Mailing Address - Country:US
Mailing Address - Phone:443-845-0003
Mailing Address - Fax:
Practice Address - Street 1:6903 MORNINGTON RD
Practice Address - Street 2:
Practice Address - City:DUNDALK
Practice Address - State:MD
Practice Address - Zip Code:21222-5149
Practice Address - Country:US
Practice Address - Phone:443-845-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care