Organization · Type 2 NPI
Ideal Provider, LLC
Respite Care · Southaven, MS
NPI number
1013141357
Active
Practice location
8869 Centre St # 3
Southaven, MS 38671-1725
Fax (662) 342-7089
Mailing address
8869 Centre St
Southaven, MS 38671-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Long Term Care Hospital | 282E00000X | None listed |
| Respite Care Primary | 385H00000X | None listed |
Respite Care: Definition to come.
Other respite care providers in Southaven
About NPI 1013141357
Ideal Provider, LLC's National Provider Identifier is 1013141357, issued on May 13, 2009. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Southaven, MS. The record was last updated on May 13, 2009.