Organization
IDE CAP SERVICES
Active
Parent organization
IDEAL HEALTHCARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDEAL HEALTHCARE SERVICES
Authorized official
MRS. TAMMY YLONDA LEWIS RN (CEO)
(919) 755-0019
Entity
Organization
Contact information
Practice address
4900 WATERS EDGE DR, STE 205, RALEIGH, NC 27606-2463
(919) 755-0019
(919) 755-0021
Mailing address
4900 WATERS EDGE DR, STE 205, RALEIGH, NC 27606-2463
(919) 755-0019
(919) 755-0021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4351
NC
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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