Organization · NPI-2

An Ideal Living LLC

Day Training, Developmentally Disabled Services · Chesapeake, VA

NPI number1720972755
StatusActive
Last updated in NPPESJun 4, 2025

Details

NPI
1720972755
Entity type
Organization (NPI-2)
Legal business name
An Ideal Living LLC
Organization subpart
No
Enumeration date
Jun 4, 2025
Certification date
Jun 4, 2025
Last updated
Jun 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

705 Bulrush Ct
Chesapeake, VA 23320-9269

Phone 757-339-8155

Mailing address

705 Bulrush Ct
Chesapeake, VA 23320-9269

Phone 757-339-8155

Other practice locations

2208 Chesterfield Loop
Chesapeake, VA 23323-6379

Phone 757-575-7315

Authorized official

Jasmine Unique Wynn
Owner
7573398155

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