NPI 1255596359

Ivy House Assisted Living, LLC

Organisation Assisted Living Facility Painesville, OH

Practice location

Address: 308 S State St, Painesville, OH 44077-3532
Phone: (440) 354-2131
Fax: (440) 354-2068

Authorised official

Name: Michelle M Gil
Title: Administrator
Phone: (440) 354-2131

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 0080R (OH)

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Registry record

NPI: 1255596359
Entity type: Organization
NPI issued: 28 Jul 2008
Record last updated: 28 Jul 2008

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.