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Organization

AMBROSE CUBED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM SIMPSON (CEO)
(704) 907-4436
Entity
Organization

Contact information

Practice address
6780 HUDSPETH RD, HARRISBURG, NC 28075-5006
(704) 907-4436
Mailing address
6780 HUDSPETH RD, HARRISBURG, NC 28075-5006
(704) 907-4436

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
05/02/2022
Last updated
06/29/2022
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