NPI 1033837968
Ivy Home Care LLC
Practice location
- Address
- 7506 S 45th Ave, Laveen, AZ 85339-4296
- Phone
- (480) 300-1277
Authorised official
- Name
- Dorine Nikuze
- Title
- Administration
- Phone
- (480) 300-1277
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1033837968
- Entity type
- Organization
- NPI issued
- 17 Aug 2022
- Record last updated
- 17 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.