Organization
IVY HOUSE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE M GIL (ADMINISTRATOR)
(440) 354-2131
Entity
Organization
Contact information
Practice address
308 S STATE ST, PAINESVILLE, OH 44077-3532
(440) 354-2131
(440) 354-2068
Mailing address
308 S STATE ST, PAINESVILLE, OH 44077-3532
(440) 354-2131
(440) 354-2068
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0080R
OH
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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