Organization
IDEAL HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL GRANT-GORDON (ADMINSTRATOR)
(301) 559-6600
Entity
Organization
Contact information
Practice address
5617 AGER RD, HYATTSVILLE, MD 20782-3730
(301) 559-6600
(301) 559-6700
Mailing address
5617 AGER RD, HYATTSVILLE, MD 20782-3730
(301) 559-6600
(301) 559-6700
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R2182
MD
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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