# AMBASSADOR SOARS SUPPORTIVE LIVING AND TRANSPORTATION SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558033548
- **Authorized official:** DWAIMEON M JORDAN (PRESIDENT)
- **Authorized official phone:** (727) 557-5995

## Contact information

- **Practice address:** 5006 TROUBLE CREEK RD STE 101, NEW PORT RICHEY, FL 34652-4937
- **Practice address phone:** (727) 557-5995
- **Mailing address:** 5317 ANHINGA TRL, NEW PORT RICHEY, FL 34653-7032
- **Mailing address phone:** (727) 557-5995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021