Organization
IVY GATE LLC
Active
Organization
IVY GATE LLC
Active
Other names
Ivy Gate Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRIA NICOLE HILLIARD LPN (OWNER)
(205) 266-1956
Entity
Organization
Contact information
Practice address
5017 KINGS DR, ADAMSVILLE, AL 35005-1814
(205) 266-1956
Mailing address
5017 KINGS DR, ADAMSVILLE, AL 35005-1814
(205) 266-1956
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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