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Organization

AMBIANCE PROVIDER HOME SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FATOU KEBE (MANAGER)
(775) 247-5659
Entity
Organization

Contact information

Practice address
4050 GARDELLA AVE, APT 522, RENO, NV 89512-1028
(775) 247-5659
Mailing address
4050 GARDELLA AVE, APT 522, RENO, NV 89512-1028
(775) 247-5659

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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