| NPI | 1811583370 |
|---|---|
| Doing Business As | IVY GATE ASSISTED LIVING FACILITY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA NICOLE HILLIARD Owner 205-266-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |