DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVYDALE AT WILLOW LODGE

Active Organization

IVYDALE AT WILLOW LODGE is a Assisted Living Facility organization located in MOULTRIE, Georgia. NPI 1750766507 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · MOULTRIE, GA

Registration Details

NPI Number
1750766507
Provider Type
Organization
NPI Issued
Jul 22, 2015 (11.093849585898 yrs)
Last Updated
Jul 22, 2015
License
PCH008684 (GA)

Practice Information

Address
3120 S MAIN ST
MOULTRIE, GA, 317686702
Browse GA providers · Browse ZIP 31768
Phone
2296684721
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in MOULTRIE, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.