| Ivy Houses | |
|
627 W Highland Ave Albany GA 31701-2757 | |
| (202) 431-3535 | |
| Not Available |
| Full Name | Ivy Houses |
|---|---|
| Speciality | Case Management |
| Location | 627 W Highland Ave, Albany, Georgia |
| Authorized Official Name and Position | Nai'ja Bridges (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2024313535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Houses 1701 Pennsylvania Ave Nw Suite 300 Washington DC 20006-5805 Ph: (202) 431-3535 | Ivy Houses 627 W Highland Ave Albany GA 31701-2757 Ph: (202) 431-3535 |
| NPI Number | 1861899759 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861899759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (Georgia) | Secondary |
| 251B00000X | Case Management | (Georgia) | Primary |
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