Organization
THE IVY AT CLEMMONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATYA GORELICK (VP OF ADMINISTRATIVE SERVICES THE C)
(336) 766-8050
Entity
Organization
Contact information
Practice address
6010 MEADOWBROOK MALL CT, CLEMMONS, NC 27012-9266
(336) 766-8050
Mailing address
440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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