Organization
IVY CREST, ACLF
Active
Organization
IVY CREST, ACLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA MARIE PRATT (ADMINISTRATOR)
(931) 363-3633
Entity
Organization
Contact information
Practice address
101 IVY LANE, PULASKI, TN 38478
(931) 363-3633
(931) 363-3686
Mailing address
101 IVY LANE, PULASKI, TN 38478
(931) 363-3633
(931) 363-3686
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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