Healthcare Provider Details

I. General information

NPI: 1225210347
Provider Name (Legal Business Name): ARDENT ANCILLARY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 HOLLY SPRINGS RD #404
HOLLY SPRINGS NC
27540-9030
US

IV. Provider business mailing address

624 HOLLY SPRINGS RD #404
HOLLY SPRINGS NC
27540-9030
US

V. Phone/Fax

Practice location:
  • Phone: 919-608-9123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SPRENGER
Title or Position: MANAGER
Credential:
Phone: 919-608-9123