Ivy Leaves Place, LLC

NPI #1679904668 in Mansfield, Texas

Provider Information

NPI Number
1679904668
Entity Type
Organization
Organization Name
Ivy Leaves Place, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 2, 2013
Last Updated
Dec 2, 2013

Practice Location

Address
7199 RENDON BLOODWORTH RD
State
Texas
ZIP Code
76063-4925
Phone
(817) 483-1294

Authorized Official

Name
MARY NEWMAN
Title
OWNER
Phone
(817) 808-7172

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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