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Ivy Lane Assisted Living,llc
Adult Care Home Facility in Surprise, Arizona
NPI 1376059550

Ivy Lane Assisted Living,llc is an Adult Care Home Facility based in Surprise, AZ and is specialized in Adult Care Home. Ivy Lane Assisted Living,llc practices in Surprise, AZ. The NPI Number for Ivy Lane Assisted Living,llc is 1376059550 and holds a License No. AL10549H (Arizona).

The current practice location address for Ivy Lane Assisted Living,llc is 18379 W Ivy Ln, Surprise, AZ and can be reached out via phone at 623-544-2805 and via fax at 623-399-6561.

Location: 18379 W Ivy Ln, Surprise, AZ, 85388-2367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376059550
Provider Name
Ivy Lane Assisted Living,llc
Credential
Provider Entity Type
Organization
Address
18379 W Ivy Ln, Surprise, AZ, 85388-2367
Phone Number
623-544-2805
Fax Number
623-399-6561
Provider Enumeration Date
12/24/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18379 W Ivy Ln
City
Surprise
State
Arizona
Zip
85388-2367
Phone Number
623-544-2805
Fax Number
623-399-6561
person
Provider Business Mailing Address Details
Address
18379 W Ivy Ln
City
Surprise
State
Arizona
Zip
85388-2367
Phone Number
623-544-2805
Fax Number
623-399-6561
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
AL10549H (Arizona)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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