Organization
IDEAL HOSPICE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPA SHAH ADMINISTRATOR (PRESIDENT/ADMINISTRATOR)
(810) 449-0916
Entity
Organization
Contact information
Practice address
6751 DIXIE HWY STE 200, CLARKSTON, MI 48346-2080
(888) 761-1215
(866) 635-3078
Mailing address
6751 DIXIE HWY STE 200, CLARKSTON, MI 48346-2080
(888) 761-1215
(866) 635-3078
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
10/10/2024
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