Ivy Gate LLC

NPI #1811583370 in Adamsville, Alabama

Provider Information

NPI Number: 1811583370
Entity Type: Organization
Organization Name: Ivy Gate LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Behavioral Disturbances
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 5017 KINGS DR
City: Adamsville
State: Alabama
ZIP Code: 35005-1814
Phone: (205) 266-1956

Authorized Official

Name: MS. ALEXANDRIA NICOLE HILLIARD, LPN
Title: OWNER
Phone: (205) 266-1956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances	3104A0630X	Primary

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