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Organization
IDEAL HOME HEALTH SERVICES, INC
Active
Organization
IDEAL HOME HEALTH SERVICES, INC
Active
Other names
Optimal Health Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATIENCE CHILE NDIKOM RN, MHA (CHIEF ADMINISTRATIVE OFFICER)
(919) 957-8311
Entity
Organization
Contact information
Practice address
1420 EAST CLUB BLVD, DURHAM, NC 27704
(919) 957-8311
(919) 937-9318
Mailing address
1420 EAST CLUB BLVD, DURHAM, NC 27704
(919) 957-8311
(919) 937-9318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1650
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409015
—
NC
05
—
6600585
—
NC
05
—
7100513
—
NC
Enumeration date
01/10/2007
Last updated
10/07/2019
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