| NPI | 1457965469 |
|---|---|
| Doing Business As | IDE HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | TA SHAWN JENNETTA COUSER Operations Manager 301-281-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |