Organization
IDEAL ALTERNATIVE SUPPORT
Active
Other names
Ideal Support Services of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
IMMACULATA INYANG PRESIDENT (EXCUTIVE DIRECTOR)
(214) 607-3650
Entity
Organization
Contact information
Practice address
100 BEECHWOOD PL, PLANO, TX 75075-8906
(214) 607-3650
Mailing address
100 BEECHWOOD PL, PLANO, TX 75075-8906
(214) 607-3650
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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