| NPI | 1891363305 |
|---|---|
| Doing Business As | IVY ESTATES RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | SANDRA M ALLEN Administrator 954-648-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-06-12 |