Organization
IDEAL LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE PRATT (OWNER)
(419) 407-0741
Entity
Organization
Contact information
Practice address
2052 FAIRFAX RD, TOLEDO, OH 43613-5117
(419) 407-0741
Mailing address
2052 FAIRFAX RD, TOLEDO, OH 43613-5117
(419) 407-0741
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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