Ideal Provider, Llc
IDEAL PROVIDER, LLC official legal name IDEAL PROVIDER, LLC is located at 8869 CENTRE ST # 3, Southaven, Mississippi. IDEAL PROVIDER, LLC primary taxonomy is Adolescent and Children Mental Health in the state of Mississippi.
| Organization Legal Name | IDEAL PROVIDER, LLC |
| NPI | 1013141357 |
| City | Southaven |
| State | Mississippi |
| Address 1 | 8869 CENTRE ST # 3 |
| Postal Code | 38671 |
| Phone | 6623427023 |
| Fax | 6623427089 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|---|
| 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
| 282E00000X | Hospitals | Long Term Care Hospital | |
| 385H00000X | Respite Care Facility | Respite Care |