Organization
MY IDEAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN PAUL DAVIS (OWNER)
(229) 236-0197
Entity
Organization
Contact information
Practice address
218 W JACKSON ST, SUITE 204, THOMASVILLE, GA 31792-5491
(229) 236-0197
(229) 236-0959
Mailing address
218 W JACKSON ST, SUITE 204, THOMASVILLE, GA 31792-5491
(229) 236-0197
(229) 236-0959
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
04/11/2011
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