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Organization
IDEAL ALTERNATIVE SUPPORT
Active
Organization
IDEAL ALTERNATIVE SUPPORT
Active
Other names
Ideal Support Services of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULATA INYANG PRESIDENT (EXCUTIVE DIRECTOR)
(214) 607-3650
Entity
Organization
Contact information
Practice address
100 BEECHWOOD PL, PLANO, TX 75075-8906
(214) 607-3650
Mailing address
100 BEECHWOOD PL, PLANO, TX 75075-8906
(214) 607-3650
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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