| NPI | 1043896863 |
|---|---|
| Former Legal Business Name | IDA CARE LLC |
| Entity Type | Organization |
| Authorized Contact | AKEEMIA DAVIS Manager 337-274-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-04-12 |