Provider Demographics
NPI:1023879228
Name:AMBIENCE ENTERPRISES
Entity type:Organization
Organization Name:AMBIENCE ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:678-457-1859
Mailing Address - Street 1:340 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5426
Mailing Address - Country:US
Mailing Address - Phone:678-457-1859
Mailing Address - Fax:
Practice Address - Street 1:340 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5426
Practice Address - Country:US
Practice Address - Phone:678-457-1859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care