Provider Demographics
NPI:1992993646
Name:ARDNAS HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ARDNAS HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:352-342-9912
Mailing Address - Street 1:150 SE 17TH ST STE 702
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5159
Mailing Address - Country:US
Mailing Address - Phone:352-342-9912
Mailing Address - Fax:352-671-8031
Practice Address - Street 1:150 SE 17TH ST STE 702
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5159
Practice Address - Country:US
Practice Address - Phone:352-342-9912
Practice Address - Fax:352-671-8031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230087385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care