Organization
IVY AT GASTONIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAIM HYMAN (CEO)
(305) 912-9260
Entity
Organization
Contact information
Practice address
4414 WILKINSON BLVD, GASTONIA, NC 28056-8271
(305) 912-9260
Mailing address
9429 HARDING AVE # 141, SURFSIDE, FL 33154-2803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
10/10/2025
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