# IDEAL HEALTHCARE PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285224311
- **Authorized official:** CHRISTEN JONES (ADMINISTRATOR)
- **Authorized official phone:** (404) 905-5089

## Contact information

- **Practice address:** 490 BRADLEY DR STE A, FAYETTEVILLE, GA 30214-2019
- **Practice address phone:** (678) 800-0022
- **Mailing address:** 6595 ROSWELL RD STE G2375, ATLANTA, GA 30328-3152
- **Mailing address phone:** (678) 648-1891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 11/28/2022