Organization
IVY TERRACE AT GAMBRILL GARDENS III
Active
Other names
Ivy Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JANE HARRIS MSW, NHA (EXECUTIVE DIRECTOR)
(636) 394-2992
Entity
Organization
Contact information
Practice address
1 STRECKER RD, ELLISVILLE, MO 63011-1998
(636) 394-2992
Mailing address
1 STRECKER RD, ELLISVILLE, MO 63011-1998
(636) 394-2992
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
040294
MO
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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