Organization
IDEAL NURSING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL JEAN GRANT GORDON (PRESIDENT ADMINISTRATOR)
(202) 723-0304
Entity
Organization
Contact information
Practice address
820 UPSHUR STREET NW, WASHINGTON, DC 20011
(202) 723-0304
(202) 723-0367
Mailing address
820 UPSHUR STREET NW, WASHINGTON, DC 20011
(202) 723-0304
(202) 723-0367
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
097036
DC
385H00000X
Respite Care
HCA-0014
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025398700
—
DC
05
—
025400100
—
DC
Enumeration date
12/19/2006
Last updated
09/18/2015
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