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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