Organization
IDEAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE P. OROZCO (PRESIDENT)
(623) 297-6427
Entity
Organization
Contact information
Practice address
4135 N 108TH AVE STE 102, PHOENIX, AZ 85037-5462
(623) 297-6427
(623) 266-0914
Mailing address
4135 N 108TH AVE STE 102, PHOENIX, AZ 85037-5462
(623) 297-6427
(623) 266-0914
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
549231997
—
AZ
Enumeration date
08/28/2020
Last updated
08/28/2020
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