Organization
IDEAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY YLONDA LEWIS RN (CEO)
(919) 755-0019
Entity
Organization
Contact information
Practice address
4900 WATERS EDGE DR, SUITE 205, RALEIGH, NC 27606-2484
(919) 755-0019
(919) 755-0021
Mailing address
4900 WATERS EDGE DR, SUITE 205, RALEIGH, NC 27606-2463
(919) 755-0019
(919) 755-0021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602253
—
NC
Enumeration date
03/31/2011
Last updated
05/21/2012
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