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Ideal Provider, Llc
Respite Care in Southaven, Mississippi
NPI 1013141357

Ideal Provider, Llc is a Respite Care based in Southaven, MS. Ideal Provider, Llc practices in Southaven, MS. The NPI Number for Ideal Provider, Llc is 1013141357 and holds a License No. (Mississippi).

The current practice location address for Ideal Provider, Llc is 8869 Centre St # 3, Southaven, MS and can be reached out via phone at 662-342-7023 and via fax at 662-342-7089.

Location: 8869 Centre St # 3, Southaven, MS, 38671-1725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013141357
Provider Name
Ideal Provider, Llc
Credential
Provider Entity Type
Organization
Address
8869 Centre St # 3, Southaven, MS, 38671-1725
Phone Number
662-342-7023
Fax Number
662-342-7089
Provider Enumeration Date
05/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8869 Centre St # 3
City
Southaven
State
Mississippi
Zip
38671-1725
Phone Number
662-342-7023
Fax Number
662-342-7089
person
Provider Business Mailing Address Details
Address
8869 Centre St # 3
City
Southaven
State
Mississippi
Zip
38671-1725
Phone Number
662-342-7023
Fax Number
662-342-7089
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Long Term Care Hospital
Speciality
-
Taxonomy
282E00000X
License No.
()
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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