IDEAL PROVIDER, LLC is a respite care in Southaven, MS. IDEAL PROVIDER, LLC NPI is 1013141357. The provider is registered as an organization entity type.
The provider's business location address is:
8869 CENTRE ST # 3
SOUTHAVEN, MS
ZIP 38671-725
Phone: (662) 342-7023
Fax: (662) 342-7089
The provider's authorized official is Ngozi Edmunds .
The authorized official title is President and has the following contact phone number (662) 342-7023.
The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/13/2009.