| NPI | 1033837968 |
|---|---|
| Doing Business As | IVY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | DORINE NIKUZE Administration 480-300-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |