NPI 1295160463
Ideal Community Care,llc
Practice location
- Address
- 8869 Centre Str #3, Southaven, MS 38671
- Phone
- (662) 342-7023
- Fax
- (662) 342-7089
- Mailing address
- 8869 Centre St STE 3, Southaven, MS 38671-1725
Authorised official
- Name
- Ngozi Edmunds
- Title
- Administrator
- Phone
- (662) 342-7023
Registered specialties (2)
Respite Care
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1295160463
- Entity type
- Organization
- NPI issued
- 6 Sep 2013
- Record last updated
- 6 Sep 2013
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.