Ivy House: Center For Self -sufficiency

NPI 1184876104 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1184876104
Enumeration Date 10/22/2008
Last Updated 01/26/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JENNA JENNA
Position PRESIDENT/FOUNDER
Phone (336) 602-1730
Fax
Practice Location
502 E 15TH ST
WINSTON SALEM NC, 27105-6161, US
Phone (336) 602-1730
Fax
Business Location
502 E 15TH ST
WINSTON SALEM NC, 27105-6161, US
Phone (336) 602-1730
Fax
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Ivy House: Center For Self -sufficiency NPI is 1184876104, taxonomy code is 251V00000X Ivy House: Center For Self -sufficiency physically located at 502 E 15th St, Winston Salem NC, 27105-6161. NPI Number 1033115704 has the healthcare provider type.

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1184876104 NPI number is provided on an as is basis without warranty of any kind. 1184876104 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy House: Center For Self -sufficiency are for informational purposes only.