Organization
ARDENT CIRCLE LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA S SKAKUN (CEO OF ARDENT CIRICLELLC)
(936) 239-8228
Entity
Organization
Contact information
Practice address
309 COURT AVE STE 200, DES MOINES, IA 50309-2230
(803) 814-7824
Mailing address
3030 LAKE ARTHUR DR APT 26, PORT ARTHUR, TX 77642-4442
(936) 239-8228
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/01/2025
Last updated
04/21/2025
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