Ivy House Assisted Living, Llc

NPI 1255596359 - Assisted Living Facility - 310400000X

NPI Details
NPI 1255596359
Enumeration Date 07/28/2008
Last Updated 07/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHELLE M MICHELLE
Position ADMINISTRATOR
Phone (440) 354-2131
Fax (440) 354-2068
Practice Location
308 S STATE ST
PAINESVILLE OH, 44077-3532, US
Phone (440) 354-2131
Fax (440) 354-2068
Business Location
308 S STATE ST
PAINESVILLE OH, 44077-3532, US
Phone (440) 354-2131
Fax (440) 354-2068
Toxanomy
Taxonomy Code 310400000X
License State Ohio
License Number 0080R
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According to our database, Ivy House Assisted Living, Llc NPI is 1255596359, taxonomy code is 310400000X and license number is 0080R, license state is located at Ohio. Ivy House Assisted Living, Llc physically located at 308 S State St, Painesville OH, 44077-3532. NPI Number 1033115704 has the healthcare provider type.

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1255596359 NPI number is provided on an as is basis without warranty of any kind. 1255596359 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy House Assisted Living, Llc are for informational purposes only.