NPI 1043896863
Ida Care LLC
Practice location
- Address
- 2908 58th Ave, Gulfport, MS 39501-5620
- Phone
- (337) 274-3154
Authorised official
- Name
- Akeemia Davis
- Title
- Manager
- Phone
- (337) 274-3154
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1043896863
- Entity type
- Organization
- NPI issued
- 22 Mar 2021
- Record last updated
- 12 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.