| NPI | 1568245447 |
|---|---|
| Doing Business As | IVY RIDGE ASSISITED LIVING |
| Entity Type | Organization |
| Authorized Contact | PAK KEUNG WU CEO 916-813-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |