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Ideal Care Providers,inc.

Skilled Nursing Facility in Missouri City, TX. Organization (NPI-2).

NPI number1164549085
StatusActive
Last updated in NPPESJan 25, 2012

Details

NPI
1164549085
Entity type
Organization (NPI-2)
Legal business name
Ideal Care Providers,inc.
Organization subpart
No
Enumeration date
Mar 24, 2007
Last updated
Jan 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility011054TXYes

Practice location

1906 Hickory Glen Dr
Missouri City, TX 77489-3092

Phone 281-499-9512 · Fax 281-499-9583

Mailing address

1906 Hickory Glen Dr
Missouri City, TX 77489-3092

Phone 281-499-9512 · Fax 281-499-9583

Authorized official

Justina U Onuh
Director
2814999512

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