Organization
GROWING IVY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANDA FINLEY (OFFICER)
(334) 718-1096
Entity
Organization
Contact information
Practice address
3000 OLD ALABAMA RD STE 150, ALPHARETTA, GA 30022-5860
(334) 718-1096
Mailing address
PO BOX 5814, ALPHARETTA, GA 30023-5814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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