| NPI | 1851362511 |
|---|---|
| Doing Business As | IVY HALL NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | JUDY CARVER DELOACH President 423-542-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000025) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0000000025) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-09-05 |