Organization
IVY LANE ASSISTED LIVING,LLC
Active
Organization
IVY LANE ASSISTED LIVING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISA KAPORALIS (MANAGER)
(602) 339-3617
Entity
Organization
Contact information
Practice address
18379 W IVY LN, SURPRISE, AZ 85388-2367
(623) 544-2805
(623) 399-6561
Mailing address
18379 W IVY LN, SURPRISE, AZ 85388-2367
(623) 544-2805
(623) 399-6561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/24/2017
Last updated
03/12/2025
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