| NPI | 1821514266 |
|---|---|
| Doing Business As | IDELLA'S HOME |
| Entity Type | Organization |
| Authorized Contact | EUNICE ESSIEN-HART Owner 252-213-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2018-08-08 |