| Organization Name: | KS AMBASSADORS HOME CARE SVC, INC |
| NPI Number: | 1952679045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY A SINCLAIR (ADMINISTRATOR) |
| Mailing Address: | 2622 Dumbarton Rd Fayetteville |
| State: | NC US |
| Postal Code: | 283062716 |
| Phone Number: | 9104260172 |
| Fax Number: | 9104260173 |
| NPI Enumeration Date: | 12/05/2011 |
| NPI Last Update Date: | 12/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |