Organization
IDEAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TISA N WALTON (DIRECTOR OF OPERATIONS)
(513) 405-3760
Entity
Organization
Contact information
Practice address
3448 TALLAHASSEE DR, CINCINNATI, OH 45239-7147
(513) 405-3760
Mailing address
3448 TALLAHASSEE DR, CINCINNATI, OH 45239-7147
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105777131199
—
OH
Enumeration date
10/14/2022
Last updated
10/14/2022
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