Organization
IDEAL CARE HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORINA LILIANA ILISAN LPN (OWNER)
(425) 503-6680
Entity
Organization
Contact information
Practice address
4205 164TH AVE SE, BELLEVUE, WA 98006-8940
(425) 503-6680
Mailing address
4205 164TH AVE SE, BELLEVUE, WA 98006-8940
(425) 503-6680
(425) 292-2881
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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