Ivy Hall, INC
NPI #1851362511 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1851362511
- Entity Type
- Organization
- Organization Name
- Ivy Hall, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 31, 2006
- Last Updated
- Sep 5, 2014
Practice Location
- Address
- 301 S WATAUGA AVE
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-3546
- Phone
- (423) 542-6512
Authorized Official
- Name
- JUDY CARVER DELOACH
- Title
- PRESIDENT
- Phone
- (423) 542-6512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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