Organization
I.E.R.LLC
Active
Other names
Ivy Estates Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA M ALLEN (ADMINISTRATOR)
(954) 648-4253
Entity
Organization
Contact information
Practice address
600 NW 18TH CT, POMPANO BEACH, FL 33060-5154
(954) 934-9866
(954) 960-2420
Mailing address
11401 NW 27TH ST, PLANTATION, FL 33323-1861
(954) 648-4253
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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