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Organization
IDA CARE LLC
Active
Organization
IDA CARE LLC
Active
Other names
Ida Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AKEEMIA DAVIS (MANAGER)
(337) 274-3154
Entity
Organization
Contact information
Practice address
2908 58TH AVE, GULFPORT, MS 39501-5620
(337) 274-3154
Mailing address
2908 58TH AVE, GULFPORT, MS 39501-5620
(337) 274-3154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
04/12/2021
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