Organization
IDEAL HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEIM EZELL (MANAGER)
(215) 696-2300
Entity
Organization
Contact information
Practice address
136 QUEEN AVE, WOODBURY HEIGHTS, NJ 08097-1635
(215) 696-2300
Mailing address
136 QUEEN AVE, WOODBURY HEIGHTS, NJ 08097-1635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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