Organization
IDEAL LIVING HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISATU SOW OWNER (CEO)
(240) 467-6895
Entity
Organization
Contact information
Practice address
5503 GREENPOINT LN, UPPER MARLBORO, MD 20772-4071
(240) 467-6895
Mailing address
5503 GREENPOINT LN, UPPER MARLBORO, MD 20772-4071
(240) 467-6895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
10/10/2024
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