Organization Name: | IDEAL HEALTHCARE NURSING CORPORATION |
NPI Number: | 1235590761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL JAYNE HO (PRESIDENT) |
Mailing Address: | 209 Sebastian Dr Millbrae |
State: | CA US |
Postal Code: | 940302940 |
Phone Number: | 4156065213 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2016 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |