Organization
IVY HEALTH CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONTESSA STRADER MS (ADMINISTRATOR)
(678) 524-1220
Entity
Organization
Contact information
Practice address
2453 POWDER SPRINGS RD SW STE 325A, MARIETTA, GA 30064-4570
(678) 915-2633
(678) 915-1766
Mailing address
PO BOX 904, MABLETON, GA 30126-0904
(678) 524-1220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/15/2018
Last updated
11/19/2024
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