Ivy Home Care LLC

NPI #1033837968 in Laveen, Arizona

Provider Information

NPI Number: 1033837968
Entity Type: Organization
Organization Name: Ivy Home Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 17, 2022
Last Updated: Aug 17, 2022

Practice Location

Address: 7506 S 45TH AVE
City: Laveen
State: Arizona
ZIP Code: 85339-4296
Phone: (480) 300-1277

Authorized Official

Name: DORINE NIKUZE
Title: ADMINISTRATION
Phone: (480) 300-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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