Organization
IDEAL HOME CARE STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE NICOLE LABORDE (ADMINISTRATOR)
(631) 509-5600
Entity
Organization
Contact information
Practice address
3241 ROUTE 112, BUILDING 7 SUITE 5, MEDFORD, NY 11763-1434
(631) 509-5600
Mailing address
3241 ROUTE 112, BUILDING 7 SUITE 5, MEDFORD, NY 11763-1434
(631) 509-5600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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