1013141357 IDEAL PROVIDER, LLC
Respite Care
Active
Basic Information
- Organization Name
- IDEAL PROVIDER, LLC
- Enumeration Date
- May 13, 2009
- Last Update
- May 13, 2009
- Authorized Official
- NGOZI EDMUNDS
PRESIDENT
Phone: (662) 342-7023
Practice Location
- Address
- 8869 CENTRE ST # 3
SOUTHAVEN, MS 386711725 - Phone
- (662) 342-7023
- Fax
- (662) 342-7089
Mailing Address
- Address
- 8869 CENTRE ST
SOUTHAVEN, MS 386711725 - Phone
- (662) 342-7023
- Fax
- (662) 342-7089
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Long Term Care Hospital | 282E00000X | Long Term Care Hospital | N/A | N/A | No |
| Respite Care | 385H00000X | Respite Care | N/A | N/A | Primary |
Frequently Asked Questions
What is IDEAL PROVIDER, LLC's NPI number?
IDEAL PROVIDER, LLC's NPI number is 1013141357.
Which doctor has NPI number 1013141357?
The doctor with NPI number 1013141357 is IDEAL PROVIDER, LLC.
What is IDEAL PROVIDER, LLC's practice address?
IDEAL PROVIDER, LLC's practice address is 8869 CENTRE ST # 3, SOUTHAVEN, MS, 386711725.
Which doctor practices at 8869 CENTRE ST # 3, SOUTHAVEN, MS, 386711725?
IDEAL PROVIDER, LLC practices at 8869 CENTRE ST # 3, SOUTHAVEN, MS, 386711725.
What is IDEAL PROVIDER, LLC's mailing address?
IDEAL PROVIDER, LLC's mailing address is 8869 CENTRE ST, SOUTHAVEN, MS, 386711725.
What is IDEAL PROVIDER, LLC's phone number?
IDEAL PROVIDER, LLC's phone number is (662) 342-7023.
Who is (662) 342-7023?
(662) 342-7023 is the phone number for IDEAL PROVIDER, LLC.
What is IDEAL PROVIDER, LLC's specialty?
IDEAL PROVIDER, LLC's specialty is Respite Care.
What type of doctor is IDEAL PROVIDER, LLC?
IDEAL PROVIDER, LLC is a Respite Care.
Is IDEAL PROVIDER, LLC a Respite Care?
Yes, IDEAL PROVIDER, LLC is a Respite Care.
Is IDEAL PROVIDER, LLC still practicing?
Yes, IDEAL PROVIDER, LLC is currently practicing.
Is IDEAL PROVIDER, LLC accepting new patients?
IDEAL PROVIDER, LLC may be accepting new patients. Please call their office at (662) 342-7023 to inquire about availability.
Is NPI 1013141357 still active?
Yes, NPI 1013141357 is currently active.
Where does IDEAL PROVIDER, LLC practice?
IDEAL PROVIDER, LLC practices in SOUTHAVEN, MS.