| NPI | 1144404823 |
|---|---|
| Doing Business As | IVY GROVE RESIDENTIAL CENTER |
| Entity Type | Organization |
| Authorized Contact | OBIAJULU E MELEKWE Chief Executive 864-488-2006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC CRC1458) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |