# IDEAL LIFESTYLE LLC

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

## Provider details

- **NPI number:** 1932883378
- **Authorized official:** SHANTE PRATT (OWNER)
- **Authorized official phone:** (419) 407-0741

## Contact information

- **Practice address:** 2052 FAIRFAX RD, TOLEDO, OH 43613-5117
- **Practice address phone:** (419) 407-0741
- **Mailing address:** 2052 FAIRFAX RD, TOLEDO, OH 43613-5117
- **Mailing address phone:** (419) 407-0741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023