Organization
IDEAL CARE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMUND MORA LONTOC RN (RN/ADMINISTRATOR)
(702) 331-1426
Entity
Organization
Contact information
Practice address
1641 E FLAMINGO RD STE 13, LAS VEGAS, NV 89119-5257
(702) 331-1426
(702) 331-4756
Mailing address
1641 E FLAMINGO RD STE 13, LAS VEGAS, NV 89119-5257
(702) 331-1426
(702) 331-4756
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20181363119
NEVADA STATE BUSINESS LICENSE
NV
Enumeration date
07/09/2019
Last updated
11/10/2021
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